Wrist and Hand Flashcards
Pinch grip
Pinch tip to tip or Pulp to Pulp
thumb and index finger
Murphy
Make a fist
3rd MCP is same level as 4th and 2nd
Boxer
Make a fist
4th and/or 5th MCP is depressed
Scaphoid
Apply pressure to scaphoid and snuff box
Radial Deviation
Axial Load
Apply axial compression to specified joint
Rotate/grind joint while under compression
Ballottement/Shuck
Palpate Triquitrum to see if it is displaced dorsally or palmar to lunate
Proximal and lateral to 3rd MC/C joint
TFCC Grind
Hold patients hand and forearm Axial load wrist and ulnar deviate Flex and extend wrist Postive: Pain ulnarly Indicates: TFCC
Push Off
Have patient push up on a table or arm rest to standing position
Positive: Pain on ulnar side
Indicates: TFCC
Finkelstein
Patient makes a fist with thumb enclosed
Ulnar deviation
Positive: Pain
Sweater (Jersey) Finger
Ask patient to make a fist
Positive: DIP does not flex
Indicates: Ruptured flexor digitorum profundus tendon
Extensor Hood Rupture
grip edge of table with hand (90 degrees flexion)
Patient tries to extend finger/PIP against resistance
Positive: Cannot extend
Indicates: Extensor Hood Rupture
Boutonniere Deformity
Patient tries to extend finger
Positive: DIP and MCP extend but PIP does not and still looks flexed
Mallet Fingert
Patient tries to extend finger
DIP does not extend
can perform against resistance
Bishops Sign
Cannot extend 4th and 5th phalanges
Indicates Ulnar nerve injury
Tinels sign at Wrist
Tap flexor retinaculum
Positive: Numbness/Tingling of median nerve