Wringing test
- Fysiobasen
- Dec 18
- 1 min read
The Wringing Test is a simple screening examination used to detect possible carpal tunnel syndrome, lateral epicondylitis (tennis elbow), or arthropathy in the wrist or elbow. It is a useful tool for narrowing down further clinical assessment.
Execution
The patient should be alert and cooperative during the test. It can be performed in either a seated or standing position. The patient holds a towel or cloth with both hands and twists it in opposite directions, similar to wringing out a towel. The examiner observes and asks about any symptoms during the maneuver.
Interpretation
Positive test:
Paresthesia (numbness or tingling) or radiating electric pain in the hand may indicate carpal tunnel syndrome
Elbow pain may indicate lateral epicondylitis (tennis elbow) or a strain in the elbow region
Wrist pain may indicate arthropathy or soft tissue strain in the wrist¹
Evidence
The Wringing Test is considered a simple clinical tool but has limited documentation regarding sensitivity and specificity. It is often used as a supplementary test for evaluating lateral epicondylitis and as part of the differential diagnosis for wrist pain¹.
Summary
The Wringing Test is a quick and easy screening method for detecting carpal tunnel syndrome, lateral epicondylitis, or wrist arthropathy. While not highly validated, it serves as a practical supplementary test to guide further clinical assessment.
Kilder:
Warren, RF. Tennis elbow (epicondylitis): epidemiology and conservative treatment, in AAOS Symposium and Upper Extremity Injuries in Athletes, Pettrone, F.A., Ed. St. Louis: C.V. Mosby, 1986; 233-243.
