Passive Proximal Row Pronation

Isolated pronation of the proximal row requires the stabilization of the radius and ulna while performing pronation of the proximal carpal row.

Step One: The patient is positioned in supine. Resting symptoms are assessed.

Step Two: The clinician flexes the elbow to 90 degrees and stabilizes the distal wrist using an adduction grasp between the thumb and index finger of one hand and places the other hand around the proximal carpal row of the wrist.

Step Three: The clinician passively moves the proximal carpal row into pronation while stabilizing the radius. Movement is stopped at the first point of pain and pain is assessed to determine if concordant.

Step Four: The clinician then passively moves the proximal row further into pronation on the radius to determine the effect on pain. The clinician may apply repeated movements or a sustained hold to determine the effect.

Step Five: If the passive movement is not painful, overpressure is applied to the movement.

Figure 10.38 Proximal Row Pronari on

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