04-09: Goniometry of Wrist and Hand

Question 1

Wrist Flexion

Answer 1

ROM: 0˚-90˚
Pt: Short sitting, shoulder/elbow flexed 90˚, forearm pronated with hand off edge, fingers extended
Axis: Distal to styloid process of ulna
SA: Parallel to and over lateral midline of ulna, in line with olecranon
MA: Lateral midline of 5th metacarpal
ST: forearm

• Avoid radial/ulnar deviation; depression of 5th metacarpal

Question 2

Wrist Extension

Answer 2

ROM: 0˚-70˚
Pt: Short sitting, shoulder/elbow flexed 90˚, forearm pronated with hand off edge, fingers flexed
Axis: Distal to styloid process of ulna
SA: Parallel to and over lateral midline of ulna, in line with olecranon
MA: Lateral midline of 5th metacarpal
ST: forearm

• Avoid radial/ulnar deviation
• Prevent cupping of 5th metacarpal

Question 3

Wrist Radial Deviation

Answer 3

ROM: 0˚-25˚
Pt: Short sitting, shoulder/elbow flexed 90˚, forearm pronated with hand on table
Axis: Over capitate on dorsal wrist
SA: Dorsal midline of forearm
MA: 3rd metacarpal midline on dorsal surface
ST: forearm

• Avoid pronation/supination of wrist

Question 4

Wrist Ulnar Deviation

Answer 4

ROM: 0˚-35˚
Pt: Short sitting, shoulder/elbow flexed 90˚, forearm pronated with hand on table
Axis: Over capitate on dorsal wrist
SA: Dorsal midline of forearm
MA: 3rd metacarpal midline on dorsal surface
ST: forearm

• Avoid pronation/supination of wrist

Question 5

End Feels - Wrist

Answer 5

Firm - Flexion, Extension, Ulnar Deviation

Hard - Radial Deviation (scaphoid)