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Physical Exam Forearm
From WikiSM
Contents
Introduction
- Follows the IP-PASS examination methodology
- Inspection
- Palpation
- Passive Range of Motion
- Active Range of Motion
- Strength & Neurovascular
- Special Tests
Inspection
- Skin
- Color: erythema, ecchymosis, pallor, darkened, cyanotic
- Trophic changes (altered hair growth, sweat production)
- Scars
- Swelling, prominent veins
- Muscle tone
- Atrophy, hypertrophy
- Deformity: asymmetry, rotation, amputation
Palpation
- Joint Effusion
- Clicking
- Snapping
- Crepitus
- Tenderness
- Temperature
- Masses
Range of Motion
- Wrist[1]
- Flexion: 80-90
- Extension: 60-70
- Radial Deviation: 15-20
- Ulnar Deviation: 40-60
- Forearm
- Pronation: 75-80
- Supination: 80-85
- Elbow
- Flexion: 150-160
- Extension: 0
- Also note if elbow extends past 0 (negative degrees)
Strength
- Extensors
- Flexors
- Ulnar Deviation
- Radial Deviation
- Supination
- Pronation
- Elbow Flexion
- Elbow Extension
Neurovascular
- Sensory Nerves
- Light touch
- Lateral: Lateral cutaneous nerve of forearm (branch of Musculocutaneous Nerve)
- Posterior: Posterior cutaneous nerve of forearm (branch of Radial Nerve)
- Medial: Medial cutaneous nerve of forearm (branch of Ulnar Nerve)
- Motor Nerves:
- Musculocutaneous Nerve: Elbow flexion, supination
- Radial Nerve: Elbow extension, elbow flexion, supination, wrist extension, wrist adduction, wrist abduction
- Posterior Interosseus Nerve: Most hand and wrist extensors
- Median Nerve: Pronation, wrist flexion, wrist abduction,
- Anterior Interosseus Nerve: “A-OK” sign or pinch grip test
- Ulnar Nerve: Wrist flexion, wrist adduction
- Vascular
- Radial pulse
- Ulnar pulse
Special Tests
- Tendinopathies
- Instability
- Neuropathies
See Also
References
- ↑ Wilson, COLON H. "The musculoskeletal examination." Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths (1990).
Created by:
John Kiel on 1 October 2019 00:15:10
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Last edited:
9 April 2022 17:18:36
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