Wrist squeezer1/2/2024 ![]() Top five physical findings which are most useful in screening for wrist fracture. These conditions could warrant a referral, or consultation. This section deals with screening the patient for possible serious pathologies that could cause wrist or hand pain. DeQuervain’s syndrome ( Finkelstein Test).Scapholunate instability ( Scaphoid Shift test).Carpal tunnel syndrome (Carpal compression test Tinel’s test Wrist-ratio index).Median nerve bias (Upper limb tension test 1 /UpperLimb Tension Test 2a).Scaphoid Fracture clinical examination (Anatomical snuff box tenderness Scaphoid tubercle tenderness Axial loading of the thumb).Below are potential tests that may be utilized categorized by possible diagnosis or tissue involvement. The physical therapist may elect to perform various special tests during the physical examination of an individual with wrist or hand complaints. Inter-phalangeal (IP)/Distal IP/Proximal IP.If patient is pain free to end range, the physical therapist may choose to apply overpressure. Palmar Aponeurosis (Dupuytren’s Contracture).Hypothenar Eminance (3 muscles of little finger, Atrophy with ulnar nerve compression).Thenar Eminence (3 muscles of thumb, Atrophy seen in carpal tunnel syndrome).Palmar Aspect - Pisiform and Hamate, Tunnel of Guyon, Carpal Tunnel, Flexor Carpi Radialis, Flexor Carpi Ulnaris 6 Dorsal Compartments – Transport extensor tendons See image at Rġst compartment- De quervains 2nd compartment - Intersection syndrome Compartment 1 (Most radial)Ģ Palmar Tunnels – Transport nerves, arteries, flexor tendons.Metacarpals - 5, Phalanges - 14, (Palpate for swelling, tenderness). ![]() Grip strength can also be a good reliable tool to use (available cheaply on internet). Goals - to obtain and quantify an asterisk to assess/reassess after the intervention is performed, for example: turning doorknob, holding a key, initial pain-free grip or key grip, opening a jar, turning on tap, lifting saucepan. Muscle wasting in the hand for the ulnar nerve occurs primarily in the fifth and half the fourth fingers, in the hypothenar area. ![]()
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