Assessing Hand injury Flashcards
What do you need to assess for?
- blood supply
- tendons
- nerves
- bone and joint
How do you assess blood supply?
- colour
- cap refill
- temp
- allen’s test
How do you assess tendons?
-test movement
What moves the DIP and how do you test?
- FDP
- single finger active and resisted
What moves the PIP and how do you test?
- FDS
- hold other fingers and test PIP flexion
What flexes the interphalangeal joint of the thumb?
FPL
What does extension of the MP joint?
-extensor digitorum communis
What does the DIP joint?
-terminal tendon
What extends the thumb and how do you test?
- extensor pollicis longus
- put hand flat and see if they can lift thumb off the table
How do you test the ulnar nerve?
-Froment’s test: hold paper under thumb and they use the wrist to hold it there
How do you test the median nerve?
-abduct thumb and push against this thumb (test abduction)
What are mechanisms of hand injury?
- crush
- cut
- shear
- puncture
