Wrist examination

Question 1

look

Answer 1

With the patient sitting, inspect dorsal and volar aspects Note any deformity, swelling, scars or muscle wasting

Question 2

feel

Answer 2

both sides

Palpate the distal radio-ulnar joint, ulnar styloid,
and the anatomical snuff box (located distal to the radial styloid at
the base of the first metacarpal)

Question 3

move

Answer 3

Flexion (80o)
Extension (90o)
Movement in a radial direction (20o) Movement in an ulnar direction (30o) Pronation (0-85o)
Supination (0-90o)

Question 4

tests

Answer 4

Suspected De Quervain’s tenosynovitis – Finklestein’s test and Eichhoff’s test
Suspected scaphoid fracture – scaphoid compression test
Suspected carpal tunnel syndrome – Tinel’s test, Phalen’s test
and Durkan’s test*