Hand & Wrist Goni

Question 1

Phalanges (MCP): Extension/Flexion

Answer 1

Norms: 45/90
-F: MCP start neutral fingers up then have them make a fist
-E: MCP start neutral fingers up then have them hyperextend

Axis: on MCP

Stationary hand: metacarpal

Moving hand: proximal phalanx

Question 2

Phalanges (MCP): Abduction

Answer 2

Norm: 20
Axis: MCP

Stationary hand: metacarpal

Moving hand: proximal phalanx

Question 3

Phalanges (PIP): Extension/Flexion

Answer 3

Norms: 0/100
F: PIP start neutral fingers up then have them make a fist
E: start neutral fingers up then have them hyperextend

Axis: on PIP

Stationary hand: proximal phallanx

Moving hand: Middle phalanx

Question 4

Phalanges (DIP): Extension/Flexion

Answer 4

Norms: 0/90
F: DIP start neutral fingers up then hook fist
E: start neutral fingers up then have them hyperextend

Axis: on DIP

Stationary hand: middle phallanx

Moving hand: distal phalanx

Question 5

Pollox CMC: Extension/Flexion

Answer 5

Norms: 20/15
Axis: adjacent to CMC joint

Stationary hand: parallel to midline of radius

Moving hand: parallel to midline of 1st metacarpal

Question 6

Pollox CMC: Radial Abduction

Answer 6

Norms: 70
Axis: dorsal CMC
Stationary hand: midline of posterior 2nd metacarpal
Moving hand: midline of posterior 1st metacarpal

Question 7

Pollox CMC: Palmar Abduction

Answer 7

Norms: 70
Axis: lateral CMC

Stationary hand: midline of lateral 2nd metacarpal
Moving hand: midline of lateral 1st metacarpal

Question 8

Pollox MCP: Extension/Flexion

Answer 8

Norms: 0/50
Axis: dorsal MCP
Stationary hand: midline of dorsal 1st metacarpal

Moving hand: midline of dorsal proximal phalanx

Question 9

Pollux IP: Extension/Flexion

Answer 9

Norms: 0/80
Axis: dorsal IP
Stationary hand: midline of dorsal proximal phalanx
Moving hand: midline of dorsal distal phalanx

Question 10

Wrist: Flexion

Answer 10

Norms: 80
Axis: lined with wrist

Stationary hand: Middle of forearm

Moving hand: 3rd metacarpal

Question 11

Wrist: Extension

Answer 11

Norms: 70
Axis: lined with wrist

Stationary hand: Middle of forearm

Moving hand: 3rd metacarpal between the middle and ring finger

Question 12

Wrist: Radial & Ulnar Deviation

Answer 12

Norms: 20/30
Axis: capitate bone (Divot under the 3rd metacarpal)

Stationary hand: Middle of forearm

Moving hand: 3rd metacarpal (middle line of the goni)