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Physical Exam Hand
From WikiSM
(Redirected from Physical Examination Hand)
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, black
- Trophic changes (altered hair growth, sweat production)
- Scars
- Swelling
- Muscle tone
- Thenar atrophy: Median Nerve injury
- Interosseus atrophy: Ulnar Nerve Injury
- Deformity
- Asymmetry
- Radial or ulnar deviation
- Rotation
- Amputation
- Athritic nodes
- Butonniere
- Swan Neck
- Angulation: Cascade Sign
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
- Radial pulse
- Ulnar pulse
- Allen’s Test
Special Tests
- De Quervains Tenosynovitis
- Central Slip Extensor Tendon Injury
- Gamekeeper’s Thumb
- TFCC Injury
- Wartenbergs Syndrome
- Carpal Tunnel Syndrome
- Scapholunate Instability
- Lunotriquetral Instability
- Distal Radial Ulnar Joint Instability
- Carpometacarpal Arthritis
- Other
See Also
External Links
- Sports Med Review Hand Pain: https://www.sportsmedreview.com/by-joint/hand/
- JAMA: Examination of the Hand and Wrist
Created by:
John Kiel on 4 September 2019 22:38:27
Authors:
Last edited:
10 April 2023 14:11:39
Categories: