Lab: Wrist & Hand Flashcards
Range of Motion:
wrist flexion= 80 wrist extension= 70 ulnar deviation= 30 radial deviation= 20 finger flexion finger extension finger abduction finger adduction finger opposition thumb flexion thumb extension
Tinel Wrist Sign:
pos. = reproduction of pain, tenderness and/or paresthesia in the median nerve distribution area (thumb, 2nd, 3rd, lateral half of 4th digits)
ind. = median neuritis (possibly carpal tunnel syndrome)
Phalen Sign AND Reverse Phalen Sign (AKA-Prayer Sign):
pos. = reproduction of pain and/or parasthesia in the median nerve distribution area (1st, 2nd, 3rd and lateral half or 4th digits)
ind. = median neuritis (possibly Carpal tunnel syndrome)
Finkelstein Test:
pos. = Pain distal to the radial styloid process
ind. = stenosing tenosynovitis of the abductor pollicis longus, and extensor pollicis brevis tendons (DeQuervain’s Disease)
Bunnel-Littler Test:
1-pos.= flexion of the proximal interphalangeal joint cannot be achieved 1-ind.= joint capsular contracture 2-pos.= flexion of the proximal interphalangeal joint is achieved 2-ind.= tight intrinsic muscles
Retinacular Test:
1-pos.= flexion of the distal interphalangeal joint cannot be achieved
1-ind.= joint capsular contracture
2-pos.= flexion of the distal interphalangeal joint is achieved
2-ind.=
Allen Test:
pos. = a delay of more than 10 seconds (Evans 5 secs) in returning a reddish color to the hand
ind. = Radial or ulnar artery insufficiency. The artery held (occluded) by the examiner, is not the artery being tested.
Bony Palpation:
radial styloid process scaphoid trapezium trapezoid lister's tubercle lunate capitate
ulnar styloid process
triquetrium
pisiform
hook of hammate
metacarpals
phalanges
Soft Tissue Palpation:
radial artery ulnar artery thenar eminence hypothenar eminence carpal tunnel region palmar aponeurosis palmaris longus tendon
tissues surrounding the proximal interphalangeal joints
tissues surrounding the distal interphalangeal joints
distal tufts of fingers
