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Kineseology LAB > Hand and Wrist > Flashcards

Hand and Wrist Flashcards

1
Q

Extensor Carpi Ulnaris palpation

A

Dorsal side- make a fist and extend the wrist up. palpate between the head of the ulna and the 5th MC → find tendon when pt extends and ulnar deviate

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2
Q

Extensor Carpi Ulnaris MMT

A

Stabilize wrist. Have pt hold extension and ulnar deviation while OT pushes into flexion and radial deviation on 5th MC

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3
Q

Extensor Carpi Rad. Longus palpation

A

Dorsal side- make fist and extend the wrist up. Palpate base of 2nd MC on top of trapezoid

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4
Q

Extensor Carpi Rad. Longus MMT

A

Keep the elbow elongated – put pressure on radial side along 2nd MC – try to push pt into flexion and ulnar deviation

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5
Q

Extensor Carpi Radialis Brevis palpation

A

Dorsal side- make fist and extend wrist up. Palpate base of 3rd MC while pt Abducts thumb

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6
Q

Extensor Carpi Radialis Brevis MMT

A

Lean shoulder forward – stabilize wrist and push pt into flexion and ulnar deviation

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7
Q

Flexor Carpi Ulnaris palpation

A

Supination of forearm- go to pisiform- flex wrist and the tendon inserts into pisiform

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8
Q

Flexor Carpi Ulnaris MMT

A

Pt is in flexion and ulnar deviation, OT pushes into extension and radial deviation

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9
Q

Flexor Carpi Radialis palpation

A

Supination of forearm- flex wrist and make fist. go just radial to palmaris longus (most medial)

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10
Q

Flexor Carpi Radialis MMT

A

Have pt flex toward radial side and OT tries to push into extension and ulnar deviation

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11
Q

Flex. Digitorum Profundus palpation

A

(flexes DIP) supination of forearm. Have pt flex finger tip (DIP) and palpate on middle phalanx (you will feel it pop on 2,3,4)

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12
Q

Flex. Digitorum Profundus MMT

A

Same as palpation. OT must stabilize proximally by holding PIP joint. Test each finger

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13
Q

Flex. Digitorum Superficialis palpation

A

(flexes PIP) supination of forearm. Palpate proximal phalanx and have pt flex

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14
Q

Flex. Digitorum Superficialis MMT

A

Same as palpation. Stabilize proximally and test each finger

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15
Q

Ext. Digitorum Communis palpation

A

Dorsal side. Make hook with fingers and trace down MC

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16
Q

Ext. Digitorum Communis MMT

A

Same setup as palpation. Stabilize wrist and flex IP joints. OT puts pressure on proximal phalanges and have pt hold

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17
Q

Extensor Indicis palpation

A

Dorsal side. Find EDC → go just ulnar & ABDuct 2nd finger to find

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18
Q

Extensor Indicis MMT

A

Make the rocker sign. Flex IP joints. Stabilize wrist. Apply pressure to prox phalanx of 2nd and 5th

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19
Q

Ext. Digiti Minimi palpation

A

EDC is just radial to EDM

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20
Q

Ext. Digiti Minimi MMT

A

Make the rocker sign. Flex IP joints. Stabilize wrist. Apply pressure to prox phalanx of 2nd and 5th

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21
Q

Palmaris Longus palpation

A

Supination of forearm- cup your hand and bring fingers together- it is the most medial tendon

22
Q

Palmaris Longus MMT

A

Supination of forearm- cup hand and flex wrist- OT puts pressure on thenar and hypothenar eminences and tries to flatten out palm of hand and extend the wrist

23
Q

Lumbricals MMT

A

must test 2 actions. Stabilize the wrist. Have pt extend IP while flexing MP. Test the ability to hold IP extension by pushing on dorsal side of mid phalanges and then test ability to hold MP flexion by pushing against palmar surface of prox phalanges

24
Q

Palmar Interossei MMT

A

Have pt ADDuct all fingers and test every finger (except middle finger) by trying to ABDuct – pull each finger at prox phalanx

25
Q

Dorsal Interossei MMT

A

Have pt ABDuct all fingers, test by trying to push her finger into ADDuction….Dont test pinky or thumb!…middle finger can ABDuct both ways so you need to test both!

26
Q

Flexor Digiti Minimi palpation

A

Palpate right below flexor crease

27
Q

Flexor Digiti Minimi MMT

A

Palm up- Flex MP joint while IP joints are extended. Put pressure on palmar surface of prox. Phalanx as pt tries to hold flexion

28
Q

ABDuctor Dig. Minimi palpation

A

Palpate on ulnar border of 5th MC. ABDuct pinky to make it pop out

29
Q

ABDuctor Dig. Minimi MMT

A

Have pt Abduct pinky. OT apply pressure to outside (ulnar side) of pinky to try to push her into pinky ADDuction

30
Q

Opponens Digiti Minimi MMT

A

Like OPB except take thumb away so the pinky is still opposed. Try to “unroll” the MC of the pinky.

31
Q

ABDuctor Pollicis Longus palpation

A

Just below EPB on the radial side of snuff box (more on the volor surface rather than dorsal surface)

32
Q

ABDuctor Pollicis Longus MMT

A

Ask pt to cock thumb back – stabilize at wrist. OT try to push her into ADDuction and flexion (in and down)

33
Q

Ext. Pollicis Brevis palpation

A

Radial side of snuff box

34
Q

Ext. Pollicis Brevis MMT

A

Stabilize MC. Try to push MP joint into flexion while pt holds extension

35
Q

Ext. Pollicis Longus palpation

A

(this is the only muscle that allows you to lift your thumb). Find the ulnar border of snuff box, ask pt to lift thumb.

36
Q

Ext. Pollicis Longus MMT

A

Stabilize as if grabbing/shaking hand (stabilize MC joint). Have pt extend IP joint and try to push her into flexion

37
Q

Flexor Pollicis Brevis palpation

A

Palm up – go to midline of thenar eminence. Feel right below MP joint and give resistance to MP flexion

38
Q

Flexor Pollicis Brevis MMT

A

Palm up- Stabilize CMC (wrist) – flex thum into palm of hand- put pressure on palmar side of proximal phalanx and try to extend the MP joint as pt holds.

39
Q

Opponens Pollicis MMT

A

Palm up- Have pt oppose thumb & pinky. Take pinky away so only thumb is opposed. Have pt hold while OT tries to “unroll” thumb away

40
Q

ABDuctor Pollicis Brevis palpation

A

Palm up -Outer surface (radial side) of thenar eminence along MC

41
Q

ABDuctor Pollicis Brevis MMT

A

Palm up- Have pt go into palmar ABDuction (cup the hand). Apply pressure to prox. Phalanx to push her into adduction (toward digits 2, 3)

42
Q

ADDuctor Pollicis MMT

A

Palm up- Line up thumb and index finger. Stick 2 fingers underneath thumb (in between thumb and index) and try to push into ABDuction

43
Q

scaphoid palpation

A

thumb on snuff box, move hand ulnarly

44
Q

lunate palpation

A

finger below 2nd metcarpal, flex wrist

45
Q

triquetrate palpation

A

distal to ulnar styloid, radially deviate hand. Slides from under ulna.

46
Q

pisiform palpation

A

palm outward. On base of hypothenar eminence (ulnar side)

47
Q

trapezium palpation

A

slide down MP joint

below ledge is bone close to base of thumb

48
Q

trapezoid palpation

A

base of 2nd metacarpal

49
Q

capitate palpation

A

base of 3rd metacarpal

extend wrist

50
Q

hamate palpation

A

take IP joint of thumb and push on pisiform diagonally into websapce
tip of thumb should touch it

51
Q

listers tubercle palpation

A

distal end of radius on dorsal side

small rice sized bump

Kineseology LAB (3 decks)

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