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Ortho Lab > Wrist and Hand > Flashcards

Flashcards in Wrist and Hand Deck (10):
1

Wrist Bony Palpation

radial styloid process scaphoid (navicular) Lister's tubercle (dorsal tubercle) lunate capitate ulnar styloid process triquetrium pisiform hook of hamate trapezium trapezoid metacarpals phalanges

2

Wrist Soft Tissue Palpation

radial artery ulnar artery palmaris longus tendon thenar eminence hypothenar eminence palmar aponeurosis carpal tunnel region tissues surrounding proximal interphalangeal joints tissues surrounding distal interphalangeal joints

3

Tinel Wrist Sign

* Introduce patient to reflex hammer, ask permission to proceed ( + ) Reproduction of pain, tenderness and/or paresthesia in the median nerve distrubution area (thumb, 2nd, 3rd, and lateral half of the 4th digit) ( i ) Median neuritis, possibly Carpal Tunnel Syndrome

4

Phalen Sign

"Patient would hold this position for one minute or to the point of pain. 58, 59, 60... relax." ( + ) Reproduction of pain and/or paresthesia in the median nerve distribution area (thumb, 2nd, 3rd, and the lateral half of the 4th digit) ( i ) Median neuritis, possibly Carpal Tunnel Syndrome

5

Reverse Phalen Sign (Prayer Sign)

"Patient would hold this position for one minute or to the point of pain. 58, 59, 60... relax." ( + ) Reproduction of pain and/or paresthesia in the median nerve distribution area (thumb, 2nd, 3rd, and the lateral half of the 4th digit) ( i ) Median neuritis, possibly Carpal Tunnel Syndrome

6

Finkelstein Test

( + ) Pain distal to the radial styloid process ( i ) Stenosing tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons (DeQuervain's Disease)

7

Allen Test

( + ) A delay of more than 10 seconds (Evan's says 5 seconds) in returning a reddish color to the hand ( i ) Radial or Ulnar artery insufficiency. The artery held (occluded) by the examiner is not the artery being tested

8

Bunnel-Littler Test

a. ( + ) Flexion of the proximal interphalangeal joint cannot be achieved a. ( i ) Joint capsule contracture - - - - - - - - - - - b. ( + ) Flexion of the proximal interphalangeal joint is achieved b. ( i ) Tight intrinsic muscles

9

Retinacular Test

a. ( + ) Flexion of the proximal interphalangeal joint cannot be achieved a. ( i ) Joint capsule contracture - - - - - - - - - - - b. ( + ) Flexion of the proximal interphalangeal joint is achieved b. ( i ) Tight retinacular ligament

10

Range of Motion

Wrist flexion 80° Wrist extension 70° Wrist ulnar deviation 30° Wrist radial deviation 20° Finger flexion Finger extension Finger abduction Finger adduction Thumb flexion Thumb extension Finger opposition