Ulnar Fovea Sign

Authors
Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

1

Purpose

Clinical detection of foveal disruptions or UT ligament injuries1

False Positive Analysis

  • Triangular fibrocartilage injuries1
  • Advanced arthrosis of the ulnar head1
  • Crystal arthropathy1
  • Extensor carpi ulnaris tendon subluxation1
  • Lax distal radioulnar joint capsule1
  • Pisotriquetral joint loose body1
  • Radiocarpal and ulnocarpal synovitis1
  • Ulnocarpal joint capsule tear1
  • Scapholunate ligament injury1
  • Dorsal wrist ganglionv
  • Ulnocarpal impaction with lunotriquetral ligament injury1
  • No Pathology1

Psychometric

Psychometric Value (95% CI)
Sensitivity 0.952 (0.90, 0.98)1
Specificity 0.865 (0.79, 0.92)1
+LR 7.06 (4.53, 11.0)1
-LR 0.055 (0.027, 0.11)1

References

1.
Tay SC, Tomita K, Berger RA. The "ulnar fovea sign" for defining ulnar wrist pain: An analysis of sensitivity and specificity. The Journal of Hand Surgery. 2007;32(4):438-444. doi:10.1016/j.jhsa.2007.01.022

Citation

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