Wrist & Hand TFCC & Impingement Evidence: suggestive

Press Test (Sit-to-Stand) Special Test

Orthopedic Physical Examination & Clinical Assessment Guide

Press Test (Sit-to-Stand) Orthopedic Special Test

What is it used for?

  • Functional test for TFCC Tear.

How to Perform

  • Action: Patient sits in a chair with armrests. Ask them to push themselves up using their hands (wrists extended).

Interpretation of Results

  • Positive Test: Significant ulnar-sided wrist pain that prevents the patient from lifting their weight.
  • Why: Weight-bearing extends the wrist and axially loads the ulnar side.

Diagnostic Accuracy

  • Sensitivity: 100%

Clinical Context & Limitations

The Press Test (Sit-to-Stand) should be considered as one component of a comprehensive musculoskeletal assessment. No single special test has perfect diagnostic accuracy; thus, clinical decision-making should integrate test results with patient-reported symptoms, mechanism of injury, functional impairment, and relevant imaging.

Clinicians should be aware of potential false-positive results in patients with pain sensitisation, muscle guarding, or poor relaxation. For the Wrist & Hand region, combining the Press Test (Sit-to-Stand) with complementary examination tests significantly improves overall diagnostic confidence.

References

  • Lester, B. et al. (1995). Journal of Hand Surgery.