What test should a therapist use if they suspect a fracture or joint arthrosis within the metacarpals or carpals?

The Axial Load Test is appropriate for assessing suspected fractures or joint arthrosis in the metacarpals or carpals due to its specific methodology that places load through the axis of the bone, effectively reproducing symptoms associated with these conditions. By applying pressure along the length of the metacarpals or carpals, the test can elicit pain and discomfort if a fracture or arthritic changes are present, as these injuries often compromise the integrity of the bone and joint structure.

This test focuses on the joints and bones in a manner that specifically looks for responses linked to fractures or arthrosis, which is pivotal in accurately diagnosing these issues. The axial loading mimics the forces that the hand experiences during functional activities, providing valuable clinical insights.

Other tests may assess the stability or mobility of the joints but do not specifically target the strain on the bone structure as effectively as the Axial Load Test for suspected fractures or arthritic conditions.