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How To Examine The Wrist and Hand

The document outlines the steps to examine the wrist and hand, including: 1. Observing the palm and back of the hand and noting anatomy 2. Feeling for tenderness and testing active and passive wrist movements 3. Testing individual finger, thumb, and nerve functions 4. Assessing grip strength using various grips

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Surgicalgown
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Download as DOCX, PDF, TXT or read online on Scribd
778 views

How To Examine The Wrist and Hand

The document outlines the steps to examine the wrist and hand, including: 1. Observing the palm and back of the hand and noting anatomy 2. Feeling for tenderness and testing active and passive wrist movements 3. Testing individual finger, thumb, and nerve functions 4. Assessing grip strength using various grips

Uploaded by

Surgicalgown
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Examination of the Wrist and Hand

1. Observe the hand positioned on a pillow or a table. Ensure you have adequate exposure.

2. Observe the palm of the hand.

3. Observe the dorsum of the hand.

4. Review the anatomy of the hand noting the tip of the styloid process, the anatomical snuffbox bordered by extensor 
pollicis brevis and extensor pollicis longus tendons, the extensor tendons of the fingers and the head of the ulna.

5. Feel for tenderness. (no photos)

6. Test active movements of the wrist. (no photos)

 
Examination of the Wrist and Hand
7. A useful method for screening of flexion and extension of the wrists. (2 photos)

8. Test passive movements of the wrist beginning with extension.
9. Flexion.

Examination of the Wrist and Hand
10. Radial deviation.

11. Ulnar deviation.

12. Pronation.

13. Supination.

 
 

Examination of the Wrist and Hand
14. Test thumb extension.

15. Test thumb abduction.

16. Test thumb adduction.

17. Test opposition.
 
 

Examination of the Wrist and Hand
18. Observe movement of fingers from extension to flexion. (2 photos)

19. Test flexor digitorum profundus function by holding the proximal interphalangeal joint extended and asking the 
patient to flex the finger. Successful finger flexion indicates the tendon is intact.

20. Test flexor digitorum superficialis function by holding the other fingers extended while asking the patient to flex the 
finger being tested. Successful flexion indicates the tendon is intact.

 
 

Examination of the Wrist and Hand
21. Assess joint hyperextension.

22. Axial compression test.

23. Asses ulnar nerve function with Froment's test. (choice of 2 photos)

24. Asses ulnar nerve/interosseus muscle function by asking the patient to abduct their fingers while slowly pushing 
the hands together until the weaker one collapses.

 
 Examination of the Wrist and Hand

24. Asses ulnar nerve/interosseus muscle function by asking the patient to abduct their fingers while slowly pushing 
the hands together until the weaker one collapses.

25. Assess median nerve function. (UK sign for FP Lard FDP working)

26. Assess the function of the hand with the fine pinch grip (paperclip).

27. Flat pinch grip (key).

28. Tripod grip (pen).

29. Wide grip (mug).

30. Power grip.

 
 

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