Wrist And Hand Flashcards
Boxer’s fracture and murphy’s sign
Wrist and hand
Pte makes a fist. Examiner observes 3rd metacarpal bone (knuckle)
3rd knuckle is level or lower than 2nd and 4th
Dislocated lunate or fractured 3rd metacarpal
Ligamentous instability test of the fingers
Wrist and hand
Pte hold out hand (pronate) and index finger. Examiner hold hand with one hand and the distal phalanges with the other. Wiggle it.
Ligament laxity
Collateral ligament sprain
Grind test
Wrist and hand
Same as axial load test except we hold the proximal phalanges of the thumb and push it (and grind) rather than the metacarpal bone.
Pain or grinding sound in jt
Degenerative joint disease
Finkelstein test
Wrist and hand
Pte makes first AROUND the thumb. Examiner stabilizes forearms and deviates wrist
Pain
Stenosing tenosynovitis or De Quervain’s syndrome
Bunnel-littler test
Wrist and hand
Pte extends wrist. Examiner flexes the PIP jt
Inability to flex PIP jt
joint capsuler tightness
Tinel’s sign of wrist
Hand and wrist
Examiner taps the pte’s carpel tunnel over the median nerve
Tingling, pain and numbness
CTS (carpel tunnel syndrome)
Phalen’s test
Hand and wrist
“Falling down” or upside down praying in front of chest, for 1 min
Pain, numbness and tingling
CTS
Reverse Phalen’s test
Hand and wrist
“Praying position” in front of chest for 1 min
Pain, numbness and tingling
CTS
Carpal compression test
Wrist and hand
Examiner holds Pte’s wrist with both hands and applies pressure over the median nerve in the carpal tunnel for 30s
Pain, numbness and tingling
CTS
Pinch test
Wrist and hand
“Ok, ain’t OK”
Pte is asked to form an OK sign with index and thumb. Only the tip should touch and not the pad touching
Entrapment of Anterior interosseous nerve
Axial load test / compression test
Hand and wrist
Stabilize wrist with one hand, the other hand grasp pte’s metacarpal bone of the thumb and applies axial compression (push in) and grind
Pain
Carpal/metacarpal fracture
