Hand exam Flashcards Preview

ZH&P II - Ortho > Hand exam > Flashcards

Flashcards in Hand exam Deck (12):
1

Inspection of hand

trauma, lesions, color, swelling, Herberden's or Bouchard's nodes, asymmetry in muscles

2

ROM for hand

wrist: flex, ext, ulnar and radial deviation
thumb: flex, ext, abd, add, opposition
fingers: DIP and PIP flex and ext

3

Strength for hand

grip strength

4

Palpation

pulses
skin temp, masses, thickening
joints: swelling, tenderness, laxity of collateral ligaments
tendons: crepitus

5

Special tests

Flexor/Extensor tendon exam
Phalen's
Tinel's
Finkelstein maneuver
Thumb CMC grind test
Allen's tests
2 point discrimination test

6

Flexor/Extensor tendon exam

Individually evaluate each tendon for intergrity
Flexor digitalis superficialis and profundus, flexor pollicis longus

7

Phalen's test

touch dorsum of hands together for 60 seconds, parasthesias should occur
+ carpal tunnel syndrome

8

Tinel's test

tap on the median carpal ligament to send a tingling sensation into hand
+ carpal tunnel syndrome

9

Finkelstein's Maneuver

thumb in palm and ulnar deviation
+ DeQuervain's tenosynovitis

10

Thumb CMC grind test

axial pressure and move in circle
+ pain indicates CMC joint arthritis

11

Allen's test

asymmetry indicating isolated radial or ulnar artery lesion

12

2 point discrimination

trauma assessment