Mishras Test
Other Names
- Mishras Test
- Mishra's Test
- Mishra's Test
- Mishra's Test I
- Mishra's Test II
- Mishra Palmaris Longus Test
- Palmaris Longus Presence Test (Mishra)
- Palmaris Longus Absence Test
- PL Tendon Assessment Test
Purpose
- Evaluate the presence and quality of the Palmaris Longus tendon
Description
Mishra I
- The examiner passively hyperextends the metacarpophalangeal joints
- The patient is then asked to flex the wrist against resistance
- Positive test
- Presence of palmaris longus tendon
Mishra II
- The patient abducts their thumb against resistance
- The wrist is slightly flexed
- Positive test
- Presence of palmaris longus tendon
Pathology
- Absence/presence of Palmaris Longus
Evidence
Presence of Palmaris Longus
- Johnson et al[4]
- Mishra I
- Sensitivity: 100%
- Specificity: 83%
- Mishra II
- Sensitivity: 100%
- Specificity: 89%
See Also
References
- ↑ Yong, Mei Wen, et al. "Prevalence of absence of palmaris longus and its association with gender, hand dominance and absence of FDS tendon to little finger among malay population." The Journal of Hand Surgery (Asian-Pacific Volume) 22.04 (2017): 484-489.
- ↑ Cohen, Joshua, et al. "The incidence of palmaris longus in the heterogeneous Israeli population." Journal of Hand Surgery (European Volume) 48.7 (2023): 635-640.
- ↑ Karim, Shilan Hussein, and Ihsan Salim Al-Taee. "Variation in the Palmaris longus tendon in Sulaimani population." Journal of Sulaimani Medical College 2.1 (2012).
- ↑ Johnson, Christine C., et al. "Clinical tests for assessing the presence and quality of the palmaris longus tendon: diagnostic accuracy of examination compared with ultrasound." Journal of Hand Surgery (European Volume) 45.3 (2020): 292-298.
Created by:
John Kiel on 4 June 2025 11:46:17
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Last edited:
24 February 2026 01:46:08
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