694bb179_WRIST__2
[0] MCP Collateral Ligament Test [1] Position the patient so that the pronated forearm and hand are supported in a relaxed position on the table surface. To enhance examination and visualization, ask the patient to slightly flex the uninvolved fingers further into flexion than the involved finger. [3] For stabilization, you should grasp the distal aspect of the metacarpals. Use the thumb and index finger of your other hand to grip the medial and lateral aspect of the proximal phalanx and to maintain the joint in 30 degrees of flexion. Use your thumb and index finger to radially distract the proximal phalanx which stresses the ulnar collateral ligament of the metacarpophalangeal joint. While applying the stress, visualize and feel for abnormal opening of the joint as compared to the uninvolved joint of the other hand. Normally, there should be a slight opening with a firm end point. The absence of a firm end point accompanied by associated sensations of pain or instability indicate an ulnar collateral ligament sprain. [2] 
Assesses the ulnar collateral ligaments of the metacarpophalangeal joints.
WRIST