Ortho 2 (special tests/glides): Wrist/Hand Flashcards
(36 cards)
wrist - ROM (flex, ext, RD, UD, forearm pron/sup)
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wrist - RISOM (flex, ext, RD, UD, forearm pron/sup)
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finger MCP ROM (flex, ext, abd, add)
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finger MCP RISOM (flex, ext, abd, add)
Finger DIP/PIP ROM (flex,ext)
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Finger DIP/PIP RISOM (flex,ext)
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Thumb ROM (CMC: flex, ext, abd, add, MCP: flex, ext, IP: flex, ext)
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Thumb RISOM (CMC: flex, ext, abd, add, MCP: flex, ext, IP: flex, ext)
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wrist palpation - bony structures
wrist - distal RU joint (palmar and dorsa glide)
**looking for: neutral zone, R1, R2, any pain
Pt: Seated or supine & F/A in resting position
Pht:
- Standing, facing pt’s hand
- One hand: stabilizes ulna
- One hand: grasp pt’s distal radius
wrist - RC joint (palmar and dorsal glide)
**looking for: neutral zone, R1, R2, any pain
Pt: Seated, F/A resting on bed; wrist over edge & in RP
Pht:
- Standing, close to pt’ hand
- One hand: stabilize distal radius/ulna close to jt line
- One hand: grasp proximal row of carpals
wrist (RC joint) - radial and ulnar glide
**looking for: neutral zone, R1, R2, any pain
wrist (RU joint) traction and compression
**looking for: neutral zone, R1, R2, any pain
fingers - MCP joint (palmar, dorsal, medial, lateral glides)
Pt seated, FA on bed & joint in RP (slight flexion)
Pht: using a pinch grip with both hands
- For palmar & dorsal glides: on palmar/dorsal aspect of bones
- For radial & ulnar glides on radial/ulnar aspect of bones
- One hand: stabilize distal MC (♂), close to jt line
- One hand: grasp proximal phalanx (♀)
fingers - MCP joint (traction/compression)
Pt seated, FA on bed & joint in RP (slight flexion)
Pht: using a pinch grip with both hands
- For palmar & dorsal glides: on palmar/dorsal aspect of bones
- For radial & ulnar glides on radial/ulnar aspect of bones
- One hand: stabilize distal MC (♂), close to jt line
- One hand: grasp proximal phalanx (♀)
fingers - IP joint (palmar and dorsal glide)
Pt seated, with FA on bed & joint in resting position (slight flexion)
Pht: using a pinch grip with both hands
- One hand: stabilize proximal phalanx (♂), close to jt line
- One hand: grasp base of adjacent (distal) phalanx (♀)
fingers - IP joint (traction/compression)
Pt seated, with FA on bed & joint in resting position (slight flexion)
Pht: using a pinch grip with both hands
- One hand: stabilize proximal phalanx (♂), close to jt line
- One hand: grasp base of adjacent (distal) phalanx (♀)
wrist - distal ru ligament stress test
Findings:
Gr I sprain: Strong normal EF & pain
Gr II sprain: Solid Firm EF but much further into range & P
Gr III sprain: Sluggish or NO EF with more or less pain
Position:
- Pt seated
- Pht facing pt, look for NZ, EF & pain; hold 5sec
wrist - RCL and LCL ligament stress test
Wrist collateral ligaments
Pt: wrist in extension (just out of CPP)
Pht:
- One hand: stabilize distal radius/ulna
- One hand: grasps proximal & distal rows of carpal bones
Findings:
Gr I sprain: Strong normal EF & pain
Gr II sprain: Solid Firm EF but much further into range & P
Gr III sprain: Sluggish or NO EF with more or less pain
Position:
- Pt seated
- Pht facing pt, look for NZ, EF & pain; hold 5sec
wrist MCP collateral ligaments stress tests
Findings:
Gr I sprain: Strong normal EF & pain
Gr II sprain: Solid Firm EF but much further into range & P
Gr III sprain: Sluggish or NO EF with more or less pain
Position:
- Pt seated
- Pht facing pt, look for NZ, EF & pain; hold 5sec
finger DIP and PIP collateral ligament stress tests
Findings:
Gr I sprain: Strong normal EF & pain
Gr II sprain: Solid Firm EF but much further into range & P
Gr III sprain: Sluggish or NO EF with more or less pain
Position:
- Pt seated
- Pht facing pt, look for NZ, EF & pain; hold 5sec
wrist - finkelstein test
wrist - TFCC supination lift test
wrist - TFCC ulnar impaction test
