College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What does a significant difference in mobility during the "Piano Keys" Test indicate?

1. Fracture of the Hand

2. Distal Radioulnar Joint Instability

3. Carpal Tunnel Syndrome

4. Wrist Sprain

The correct answer is: Distal Radioulnar Joint Instability

A significant difference in mobility during the "Piano Keys" test is indicative of distal radioulnar joint instability. This test specifically evaluates the stability of the distal radioulnar joint by assessing the ability of the ulnar head to return to its normal position after being pressed down. If there is a notable difference in mobility, it suggests that there is an inability of the joint to maintain proper alignment and stability, which is characteristic of distal radioulnar joint instability. Other conditions listed, such as a fracture of the hand, carpal tunnel syndrome, or wrist sprain, may present with symptoms that affect mobility but are not specifically assessed through the "Piano Keys" test. For example, fractures would typically not allow for any movement without significant pain, and carpal tunnel syndrome primarily affects the median nerve distribution rather than joint stability. Wrist sprains may lead to pain and some limitation in movement, but they do not specifically indicate issues with the distal radioulnar joint's stability in the same manner as the "Piano Keys" test does. Thus, the correct identification of distal radioulnar joint instability aligns with the specific purpose of this test, making it the most appropriate answer.