The Maisonneuve’s Sign is a wrist examination procedure that is used to evaluate for Colle’s fracture. This type of fracture is common in the distal radius as a result of a fall onto an outstretched hand. The fracture is along the distal radial metaphyseal region along with doral angulation and impaction.
The patient should be awake and cooperative during a Maisonneuve’s Sign test.
- Patient may be seated or standing while the procedure is being done.
- Ask the patient to flex the elbow at 30 degrees while keeping the forearm pronated.
- Take note if patient actively extends the wrist.
Positive Maisonneuve’s Sign
There is positive Maisonneuve’s Sign when the patient hyperextends his wrist. This could indicate the presence of Colle’s fracture.
Imaging should be indicated of the wrist when there is noticeable hyperextension. Imaging should be done even if the patient does not complain of any pain in the area. An examiner should initially get a detailed medical history of the patient before a Maisonneuve’s Sign is done to prevent moving fractured bones.