In measuring Wrist Ulnar Deviation (adduction), what is the expected end feel and ROM?

• A. HARD end feel; 0-30 degrees
• B. SOFT end feel; 0-60 degrees
• C. FIRM end feel; 0-15 degrees
• D. FIRM end feel; 0-30 degrees

Answer: (D)

Wrist ulnar deviation is limited by the tension in the ulnar collateral ligament complex and the joint capsule, with surrounding tissues providing a gradual, felt resistance as you move the hand toward the ulna. That combination of soft tissue and capsule tension creates a firm end feel rather than a soft or hard stop. The normal range from a neutral starting position is about 0 to 30 degrees, so you should reach a firm stop around 30 degrees of deviation. This distinguishes it from a soft end feel (limited by tissue bulk or swelling) or a hard end feel (bone-on-bone contact), which aren’t typical limiting factors for this movement.