Wrist and Hand

Card Set Information

Author:
saleradc
ID:
76691
Filename:
Wrist and Hand
Updated:
2011-04-01 21:57:24
Tags:
ortho
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Description:
OSCE
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  1. Wrist and Hand Palpation
    Bony
    • Radial Styloid
    • Scaphoid
    • Lunate
    • Lister's Tubercle
    • Triquetrium
    • Pisiform
    • Trapezium
    • Trapezoid
    • Capitate
    • Hook of Hamate
    • Ulnar Styloid
    • Metacarpals
    • Phalanges
  2. Wrist and Hand Palpation
    Soft Tissue
    • Ulnar A.
    • Radial A.
    • Palmaris Longus Tendon
    • Carpal Tunnel Region
    • Thenar Eminence
    • Hypothenar Eminence
    • Palmar Aponeurosis
    • Tissue around PIP
    • Tissue around DIP
    • Distal Tufts
  3. Wrist and Hand ROM
    • Wrist Flexion: 80*
    • Wrist Extension: 70*
    • Ulnar Deviation: 30*
    • Radial Deviation: 20*
    • Finger Abduction
    • Finger Adduction
    • Thumb Flexion
    • Thumb Extension
    • Finger Flexion
    • Finger Extension
    • Finger Opposition
  4. Tinel's Wrist Sign
    • Positive: reproduction of pain, tenderness and/or paresthesia in the median nerve distribution area (thumb,2nd,3rd, and lateral half of the 4th digit)
    • Indicates: Carpal Tunnel Syndrome
  5. Phalen's and Reverse Phalen's a.k.a. Prayer Sign
    • Positive: reproduction of pain, tenderness and/or paresthesia in the median nerve distribution area (thumb,2nd,3rd, and lateral half of the 4th digit)
    • Indicates: Carpal Tunnel Syndrome
  6. Finkelstein's Test
    • Positive: pain distal to the radial styloid
    • Indicates: stenosing tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons (DeQuervain's Dz)
  7. Bunnel-Littler Test
    • Positive: 1) flexion of the PIP can't be achieved 2) flexion of the PIP can be achieved
    • Indicates: 1) joint capsule contracture 2) tight intrinsic muscles

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