In the carpal whip HVLA, what is the primary purpose of maintaining traction?

• A. To Separate the Interosseous Ligaments in the Wrist
• B. To Realign the Distal Radius and Ulna
• C. To Tighten the Carpal Tunnel
• D. To Separate the Interosseous Ligaments Between Carpals

Answer: (D)

Traction in the carpal whip HVLA is all about distracting the wrist joints so the carpal bones can separate slightly. This distraction specifically targets the intercarpal ligaments that connect the individual carpal bones. By maintaining that traction during the thrust, the movement occurs across the joint surfaces rather than compressing them, allowing the carpal bones to glide back toward a more normal alignment. This restores joint play within the carpal row and supports a balanced, functional wrist. It isn’t aimed at realigning the distal radius and ulna, nor at tightening the carpal tunnel; the focus is on separating the ligaments between the carpals to restore proper carpal motion.