This test evaluates the source of PIP flexion motion limitation by differentiating between intrinsic muscle or capsular tightness in the affected digit. A typical patient presentation may include pain located in the distal intermetacarpal space and with prolonged gripping or making a fist.

Feb 4, 2024 · Bunnell Test (or Bunnell Littler Test) is used to determine whether flexion restriction of the proximal interphalangeal joint PIP is due to tightness of the intrinsic muscles or due to a restriction of the metacarpophalangeal joint capsule.

- Technique: - intrinsic tightness is demonstrated by comparing passive PIP joint flexion w/ MP joint held in extension and then flexion; - test for intrinsic tightness is performed by passively holding pt's MCP joints extended & either actively or passively flexing PIP joints;

Dec 20, 2024 · The Bunnell Littler Test is an orthopedic examination used to assess the flexibility of the MCP and PIP joints in the fingers. It involves holding the affected finger at the MCP joint in extension (straightened position) while flexing the PIP joint passively at the end of the finger.

Memorize Medical. (2022, January 21). Bunnell Littler Test (made ridiculously easy). YouTube. https://www.youtube.com/watch?v=jR0T3oISPMs.

The Bunnell Littler test is a special examination technique used to evaluate for osteoarthritis of the finger, capsule contraction of PIP joint, Lumbrical muscle tightness

Intrinsic tightness is caused by intrinsic muscle dysfunction. The Bunnell tightness test differentiates between intrinsic and extrinsic tightness of the muscles in the hand. Intrinsic tightness may arise from an effect of rheumatoid arthritis (RA). Observe whether the patient demonstrates restricted flexion at the PIP joint.

Bunnel-Littler Test For intrinsic tightness. 1) With the MCPJ in extension the intrinsics are put on a stretch. Try to flex the PIPJ with MCPJ. in extension. If it doesn't flex = tight intrinsics or joint capsule contracture. 2) With MCPJ in flexion the intrinsics are relaxed. Thus if unable to flex PIPJ= tight capsule.

Feb 21, 2022 · This bunnel – littler test checks the structures around the metacarpophalangeal joint. Purpose = This bunnel – littler test is used to check the tightness of the intrinsic muscle or contracture of the joint capsule. Technique = The patient is in a sitting position for the test.

Jun 6, 2023 · The metacarpophalangeal joint’s supporting structures are examined by this bunnel-littler test. Purpose=The bunnel-littler test is performed to determine if the intrinsic muscle is tight or the joint capsule is contracting.