Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Assessment of the Cardiovascular System II: Inspection01:29

Assessment of the Cardiovascular System II: Inspection

954
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
954
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

1.5K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.5K
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

682
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
682
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

500
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
500
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

313
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
313
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

616
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
616

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Cod Liver Oil, but Not Retinoic Acid, Treatment Restores Bone Thickness in a Vitamin A-Deficient Rat.

Nutrients·2022
Same author

Iatrogenic Contamination With a Surgical Helmet System in Orthopedic Surgery.

Orthopedics·2021
Same author

Biomechanical Modeling of Connecting Intermetacarpal K-Wires in the Treatment of Metacarpal Shaft Fractures.

Hand (New York, N.Y.)·2020
Same author

Outcomes for late presenting lateral condyle fractures of the humerus in children: A case series.

Journal of clinical orthopaedics and trauma·2020
Same author

Median Nerve Entrapment in the Ulna in a Both-Bone Pediatric Forearm Fracture: Case Report and Review of the Literature.

Pediatric emergency care·2019
Same author

Response to Comments on "The Use of tPA in the Treatment of Frostbite: A Systematic Review".

Hand (New York, N.Y.)·2019

Related Experiment Video

Updated: Feb 25, 2026

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
05:12

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Published on: September 19, 2019

7.0K

Can Physical Examination Create a Stener Lesion?

Manesha Lankachandra1, John P Eggers1, James W Bogener1

  • 1* Department of Orthopaedic Surgery, University of Missouri, Kansas City, MO, USA.

The Journal of Hand Surgery Asian-Pacific Volume
|August 5, 2017
PubMed
Summary

A Stener lesion, a common thumb injury, is unlikely to be created during clinical examination of the ulnar collateral ligament (UCL) if the thumb is kept in neutral rotation. Gentle examination techniques prevent iatrogenic Stener lesions.

Keywords:
Physical examinationStener lesionStress testUlnar collateral ligament of the thumb

More Related Videos

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
05:39

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus

Published on: May 16, 2025

749
Diagnosis of Musculus Gastrocnemius Tightness - Key Factors for the Clinical Examination
08:43

Diagnosis of Musculus Gastrocnemius Tightness - Key Factors for the Clinical Examination

Published on: July 7, 2016

15.1K

Related Experiment Videos

Last Updated: Feb 25, 2026

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
05:12

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Published on: September 19, 2019

7.0K
Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
05:39

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus

Published on: May 16, 2025

749
Diagnosis of Musculus Gastrocnemius Tightness - Key Factors for the Clinical Examination
08:43

Diagnosis of Musculus Gastrocnemius Tightness - Key Factors for the Clinical Examination

Published on: July 7, 2016

15.1K

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Anatomy

Background:

  • The ulnar collateral ligament (UCL) of the thumb is crucial for stability.
  • A Stener lesion occurs when the UCL is injured and displaced by the adductor pollicis longus aponeurosis.
  • Clinical examination aims to assess UCL integrity but may risk iatrogenic injury.

Purpose of the Study:

  • To determine if a Stener lesion can be iatrogenically created during simulated clinical testing of the thumb's UCL.
  • To identify examination positions that may increase the risk of inducing a Stener lesion.

Main Methods:

  • Six fresh-frozen hand specimens were used.
  • Sequential sectioning of UCL components and the ulnar sagittal band was performed.
  • Radial deviation of the metacarpophalangeal (MCP) joint was measured in various rotations (neutral, pronation, supination) and flexions (0°, 30°).
  • Visual inspection assessed for Stener lesion formation.

Main Results:

  • No Stener lesions were created when the ulnar sagittal band remained intact.
  • Stener lesions occurred in two specimens only after sectioning the ulnar sagittal band, specifically with the thumb in flexion and supination.
  • Pronation offered greater stability than supination, particularly at 30° MCP flexion.
  • Significant differences in joint angulation were noted with 30° flexion in neutral and supinated positions compared to no flexion/rotation.

Conclusions:

  • Iatrogenic Stener lesions are unlikely if the UCL stability examination is performed gently with the thumb in neutral rotation.
  • Maintaining neutral rotation during the physical assessment of UCL injuries helps prevent unintended Stener lesion creation.