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Physical Exam Hand

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Introduction

  • Follows the IP-PASS examination methodology
    • Inspection
    • Palpation
    • Passive Range of Motion
    • Active Range of Motion
    • Strength & Neurovascular
    • Special Tests

Inspection


Palpation

  • Joint Effusion
  • Clicking
  • Snapping
  • Crepitus
  • Tenderness
  • Temperature
  • Masses

Range of Motion

  • Finger
    • MCP: 0° - 85°
    • PIP: 0° - 110°
    • DIP: 0° - 65°
  • Wrist
    • Flexion: 60°
    • Extension: 60°
    • Radioulnar Deviation: 50°

Strength and Neurovascular

  • Sensation
    • Recommend: 2 point discrimination (use paper clip)
    • Light touch
  • Motor:
    • Median Nerve: “A-OK” sign: flexion of thumb and index finger or thumb and pinky against resistance
    • Ulnar Nerve: Test fingers against resistance in abduction
    • Radial Nerve: Test thumb extension against resistance
  • Vascular

Special Tests


See Also

External Links


Created by:
John Kiel on 4 September 2019 22:38:27
Last edited:
2 July 2021 15:41:49
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