Synkinetic Wrist Extension Maneuver demonstrating Radial Nerve Palsy as cause for Wrist Drop Up up, down down. Higher ( cortical lesions) with synkinetic wrist extension can be distinguished from lower radial nerve palsy with finger/wrist drop. Clenching the fist➡️wrist flexion seen on both supination and pronation- Radial nerve palsy. In a central wrist drop, clenching the fist leads extension at the wrist. Dr. Boby Varkey Maramattom @bobvarkey #Synkinetic #Wrist #Extension #Maneuver #Radial #Nerve #Palsy #Drop #clinical #video #physicalexam #neurology