Elbow wrist Goniometry

Question 1

Elbow Flexion/Extension

Answer 1

Fulcrum: Lateral epicondyle
Stationary: acromion
Moving arm: radial styloid process

Patient Position:Supine

Normal ROM: Flx-150
ext-0

Question 2

Wrist flexion/Extension

Answer 2

Fulcrum: Triquetem
Stationary: along ulnar shaft
Moving arm: 5th metacarpal

Patient positiom:sitting - arm pronated
Normal ROM: Flexion:80
ext-70

Question 3

radial and ulnar deviation

Answer 3

Fulcrum: Capitate
Stationary: midline of forearm
Moving arm: 3rd metacarpal

patient position: sitting arm pronated

Normal ROM: Radial-20
ulnar-30

Question 4

Pronation/ Supination

Answer 4

Fulcrum: Capitate
Stationary: midline of forearm
Moving arm: 3rd metacarpal

patient position: sitting arm pronated

Question 5

MCP Flexion/Extension

Answer 5

Fulcrum: Over MCP dorsal joint
Stationary: Dorsal midline of metacarpal
Moving arm: Dorsal midline of proximal phalaynx

patient position: sitting , forearm neutral
Normal ROM: 30-0-90

Question 6

MCP abduction/ adduction

Answer 6

Fulcrum: Over MCP dorsal joint
Stationary: Dorsal midline of metacarpal
Moving arm: Dorsal midline of proximal phalaynx

patient position: sitting , forearm full pronation
Normal ROM: 20-0-20

Question 7

PIP Flexion/Extension

Answer 7

Fulcrum: Over MCP PIP Joint
Stationary: Dorsal midline of proximal phalanyx
Moving arm: Dorsal midline of middle phalaynx

patient position: sitting , forearm neutral
Normal ROM: 0-100

Question 8

DIP Flexion/Extension

Answer 8

Fulcrum: Over MCP DIP Joint
Stationary: Dorsal midline of Middle phalanyx
Moving arm: Dorsal midline of distal phalaynx

patient position: sitting , forearm neutral
Normal ROM: 0-70

Question 9

1st CMC palmar flexion/extension

Answer 9

Fulcrum: palmar aspect of 1st CMC joint
stationary: ventral midline of radius
Moving arm: ventral midline of 1st metacarpal

patient position: supinated , sitting
Normal ROM: 30-0-10