wrist and hand Flashcards
what do we look during observation of hand/wrist assessment
Observe hand in resting position.
Observe movements.
Observe facial expressions during movements.
Observe bone and soft tissue contours and deformities.
Observe fingernails.
what are the physical finding during wrist/hand assessment
Variations in size and shape of hand
Edema
Neuromuscular effects
Deformities and contractures
Muscle wasting
Cosmetic appearance
what are some hand/wrist deformity
Benediction hand
Drop wrist
Beau’s line (depression in the thumb)
what are some S/S finding for carpal tunnel
shaking hand relieve symptom
reduced sensory sensation on digit (thumb especially)
age greater than 45
what are the functional wrist and hand scan
Standard fist.
Hook grasp fist.
Straight fist.
Pulp-to-pulp pinch.
Tip-to-tip pinch.
roll and glide of lunate in wrist flexion in OP
anteriorly
roll and glide of lunate in wrist extension in OP
posteriorly
what are some grip testing
hook, cylinder, fist, spherical
name some test for carpal instability
lunotriquetral ballotement, scaphoid shift test, supination lift test
name for muscle and tendon testing in finger
finklestein, extensor hood/boyes
name for muscle and tendon testing in finger
finklestein, extensor hood/boyes
what is the sweater finger test
inability to flex a finger in a close fist = ruptured of flexor digitorum profundus
what is the froment’s sign
Test for ulnar nerve
If the thumb flexes when the paper is pulled away, it indicates weakness of adductor pollicis, which is supplied by the ulnar nerve.
symptom of carpal tunnel syndrome
increase Pain at night
numbness, tingling
weakness/atrophy
what is guyon canal syndrome
compression of ulnar nerve
