Post on 23-Feb-2016
description
Hand and Wrist Evaluation
Ms. Bowman
Anatomy Review
Anatomy Review Articulations:
• Metacarpophalangeal joints• Carpometacarpal joints• Intermetacarpal joints• Intercarpal joints• Radiocarpal joints• Distal Radioulnar joint
Anatomy ReviewIntrinsic Muscles Extrinsic Muscles
Anatomy Review Nerves of the hand:
• Radial• Median• Ulnar
History Location of Pain MOI
Sounds and Sensations (Rice Crispies) Duration of Symptoms Description of Symptoms/Pain
• aching, throbbing, sharp, dull, burning, numbness, tingling
Previous history General medical health
• arthritis, vascularization issues
Inspection Posture Deformity Edema Cuts or scars Alignment Cysts Skin and fingernails
PalpationBones Radius Radial Styloid
Process Ulna Ulnar Styloid
Process Carpal Bones Metacarpals Phalanges
Soft Tissue Thenar eminence Central
compartment Hypothenar
eminence Webspace Collateral IP
ligaments
ROM TestsWrist
Flexion Extension Ulnar Deviation Radial Deviation
Finger Flexion Extension Abduction Adduction
Thumb also has opposition.
Ligamentous Tests Valgus/Varus Stress Test of
Radiocarpal joint Glide testing of the wrist Valgus/Varus Stress Test of the IP
joints Ulnar Colleral Ligament of the thumb
Neurological Tests Radial Nerve Median Nerve Ulnar Nerve
Upper Quarter Screen (will learn with shoulder)
Special Tests Phalen’s Test Finkelstein Test Tap Test Compression Test Tinel’s Sign Murphy’s Sign