Clinical Examinationn of the Hand & Wrist
Transcript of Clinical Examinationn of the Hand & Wrist
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- = wrist strain or
sprain
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EY ( ROM )
TESTS
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( )
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Power Grip Chuck Pinch(three-finger ordigital
prehension)
Lateral (Key)Pinch Thumb-IndexPulp Pinch
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Cascade sign
PIPs
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( Lister)
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Anatomy: The Extensor System
Zone VII: Wrist Extensor Component
APL
EPB
ECRL
ECRB
EPL ED
EI
EDM ECU
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( Dorsal Compartment )
(AbductorPollicis Longus )B (Extensor Pollicis Brevis)
- De Quervains Tenosynovitis
- Finkelsteins Test
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(2nd Dorsal Compartment)
(Extensor Carpi Radialis Longus)
(Extensor Carpi Radialis Brevis)
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(3rd Dorsal Compartment)
(Extensor Pollicis Longus)
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Fx Colles RA.
Extensor Pollicis Longus Tenosynovitis.
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4
(4th Dorsal Compartment)
(Extensor
Digitorum Communis)
(Extensor Indicis)
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5o
(5th Dorsal Compartment)
(Extensor Digit i Minimi)
RA.
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(6th Dorsal Compartment)
(Extensor Carpi Ulnaris)
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fx Colles
fx .
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(Volar f lexor
tendons)
(Flexor carpi ulnaris)
(Palmaris longus)
(Flexor carpi radialis)
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FLEXOR CARPI ULNARIS
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KANA GUYON
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( Carpal tunnel )
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Tinels Test
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Phalens test (30)
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(Flexor carpi radialis)
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:
( )
: V
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: V
( )
(Extensor tendons)
(Abductor pollicis longus
(Extensor pollicis brevis)
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(Extensor carpi radialislongus and brevis)
(Extensor digitorum)
(Extensor digiti minimi)
(Extensor carpi ulnaris)
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: V
()
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Bouchard Heberden
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(RANGE OF MOTION)
( )
( )
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ROM
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ROM
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()
()
()
( )
( )
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6 (7)
6 (7)
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8 (1)
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7
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( 7)
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( 7)3)
( 7)
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( 8, 1
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1
1) ( 8, 1)
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( 8, 1)
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( 7 )
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( )
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: 6, 7
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( )
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( )
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6, 7
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B l Litt
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Bunnel Litter
(intrinsics)
(lubricals)
(interossei)
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Retinacular test
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Allen
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