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Hand Surgery Source
Ulnar Artery Pulse
Test, Exam and Signs
Taking a patient’s ulnar artery pulse is useful for evaluating neurovascular injuries and for determining normal heart function. If a patient has undiagnosed irregular pulse rates, s/he should see a primary care provider.
Doppler can be used to record arterial perfusion patterns to the hand.
A healthy ulnar artery pulse should be between 60 and 100 beats per minute (bpm).
Frequently, the ulnar artery is obscured, requiring effective wrist relaxation.
Pulse volume recordings (PVR) measure flow through the ulnar artery. PVR is an effective screening tool to determine whether hemodynamically significant vascular disease has caused alterations in digital flow patterns.
Deviations from normal, triphasic wave patterns arise from diseased arteries.
Use a Doppler to monitor the ulnar artery pulse
Observe whether the pulse is in the range of 60–100 bpm
Observe whether the pulse is steady
Take the ulnar artery pulse in the contralateral hand
Check the pulse at the dorsal branch of the ulnar artery and the radial artery.
In some cases, it is difficult to feel the ulnar artery because of an aberrant location. In these situations, the Allen test should be used.
Related Signs and Tests
Radial artery pulse
Cold stressor test
Presentation Photos and Related Diagrams
Palpating Ulnar Artery pulse at the wrist
Doppler Assessing Ulnar Artery Pulse
Definition of Positive Result
A positive result occurs when the patient’s ulnar artery pulse is irregular or outside the normal range of 60–100 bpm.
Definition of Negative Result
A negative result occurs when the patient’s ulnar artery pulse is steady and inside the normal range of 60–100 bpm.
Comments and Pearls
To achieve an accurate pulse reading, check that the patient is in a relaxed state.
In patients with diabetes, calcified vessels can result in falsely high pressure measurements.
Caffeine intake may also affect pulse rate.
Often, the Allen test is necessary to determine if a non-palpable ulnar artery is absent or only obscured.
Diagnoses Associated with Tests, Exams and Signs
GANGLION (WRIST, HAND, FINGERS)
Palpating Ulnar Pulse
Doppler Assessment of Ulnar Pulse
Culp R, Jacoby S.
Musculoskeletal Examination of the Elbow, Wrist and Hand: Making the Complex Simple
. New Jersey: SLACK Incorporated, 2012.
Loscalzo J, Creager MA, Dzau VJ eds.
Vascular Medicine: A Textbook of Vascular Biology and Diseases
. 2nd edition. Boston: Little, Brown and Company, 1996.
Kleinert JM, Gupta A. Pulse volume recording.
Vascular Disorders of the Extremities
. 2nd edition. New York: Harper and Row, 1974.
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