Wrist

Question 1

what are you looking for in a wrist examination

Answer 1

deformity
swelling
scars
muscle wasting
on dorsal and volar aspects

Question 2

what 3 areas should be felt in a wrist examination

Answer 2

distal radio-ulnar joint
anatomical snuff box
ulnar styloid process

Question 3

what 6 movements are involved in a wrist examination

Answer 3

flexion
extension
movement in radial direction
movement in ulnar direction
pronation
supination

Question 4

what 6 special tests are involved in a wrist examination

Answer 4

tinel’s test
Finkelstein’s test
Eichhoff’s test
scaphoid compression test
durkan’s test
phalen’s test

Question 5

describe Finkelstein’s test

Answer 5

ask patient to put their hand in a hand stake position with their fingers straight and pull down on them thumb to test for De quervain’s

Question 6

describe Eichhoff’s test

Answer 6

ask the patient to make a first with their thumb tucked in and tilt their wrist downwards to test for De quervain’s

Question 7

describe scaphoid compression test

Answer 7

holding the patients thumb at the MCP push the thumb backwards into the hand to test for scaphoid fracture

Question 8

describe tinel’s test

Answer 8

tapping over the inside of the wrist causes pain and tingling on the fingers - testing for carpal tunnel syndrome

Question 9

describe phalen’s test

Answer 9

ask the patient to hold their hand with the back of their hands and wrists touching and ask them to hold for a minute to see if symptoms of carpal tunnel syndrome arise

Question 10

describe durkan’s test

Answer 10

applying compression to the inside of the wrist triggers symptoms of carpal tunnel syndrome