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

Purpose

Clinical detection of foveal disruptions or UT ligament injuries

False Positive Analysis

  • Triangular fibrocartilage injuries
  • Advanced arthrosis of the ulnar head
  • Crystal arthropathy
  • Extensor carpi ulnaris tendon subluxation
  • Lax distal radioulnar joint capsule
  • Pisotriquetral joint loose body
  • Radiocarpal and ulnocarpal synovitis
  • Ulnocarpal joint capsule tear
  • Scapholunate ligament injury
  • Dorsal wrist ganglionv
  • Ulnocarpal impaction with lunotriquetral ligament injury
  • No Pathology

Psychometric

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

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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