Clinical Examinationn of the Hand & Wrist

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    - = wrist strain or

    sprain

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    /

    /

    /

    /

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    , ,

    /

    /

    /

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    4

    1.

    2. 3.

    4.

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    EY ( ROM )

    TESTS

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    =

    =

    =

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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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    /

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    / 1

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    ( Lister)

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    http://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08c1b.jpeg
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    Anatomy: The Extensor System

    Zone VII: Wrist Extensor Component

    APL

    EPB

    ECRL

    ECRB

    EPL ED

    EI

    EDM ECU

    1

    http://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08g5b.jpeghttp://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08g5b.jpeghttp://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08g5b.jpeghttp://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08g5b.jpeghttp://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08g5b.jpeghttp://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08g5b.jpeghttp://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08g5b.jpeghttp://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08g5b.jpeghttp://radiographics.rsnajnls.org/content/vol23/issue3/images/large/g03ma08c1b.jpeg
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    1

    ( Dorsal Compartment )

    (AbductorPollicis Longus )B (Extensor Pollicis Brevis)

    - De Quervains Tenosynovitis

    - Finkelsteins Test

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    2

    (2nd Dorsal Compartment)

    (Extensor Carpi Radialis Longus)

    (Extensor Carpi Radialis Brevis)

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    3

    (3rd Dorsal Compartment)

    (Extensor Pollicis Longus)

    .

    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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    6

    (6th Dorsal Compartment)

    (Extensor Carpi Ulnaris)

    .

    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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    V

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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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    :

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    :

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    :

    ( )

    : V

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    : V

    ( )

    (Extensor tendons)

    (Abductor pollicis longus

    (Extensor pollicis brevis)

    /

    (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

    6 (7)

    6 (7)

    7

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    7

    7

    8 (1)

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    -

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    7

    1)

    ( 7)

    2)

    ( 7)3)

    ( 7)

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    8

    ,

    1)

    ( 8, 1

    )

    ,

    1) ( 7, 8, 1)

    ,

    1)

    - ( 8)

    - ( 7)

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    1

    1) ( 8, 1)

    2)

    ( 8, 1)

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    1

    1)

    ( 8, 1)

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    7

    ,

    1)

    ( 7 )

    ,

    1)

    ( 7 )

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    ( )

    ,

    1)

    : 8

    : 6, 7

    ,

    1)

    8, 1

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    ( )

    :

    1)

    7

    2)

    6, 7

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    :

    1)

    8

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    ( )

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    :

    1)

    6, 7

    2)

    8

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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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    :

    1.

    2.

    3.

    4.

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