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Wheeless' Textbook of Orthopaedics
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Wrists: Physical Exam





- Hand: Physical Exam
    Flex   Ext   R/Dev. U/Dev.   Pro   Sup         Radial-Ulnar Art.
    75     70     25     45       60   60
    5/5   5/5                                     2+     2+
- Dorsal Wrist Pain
- Radial and Snuff Box Tenderness
- Finkelstein's test
- Grind Test
- Triquetrolunate instability;
      - Ballottement test (VISI)
- Dorsal Wrist Pain
- Ulnar Wrist Pain
- Bunnel Test for Intrinsic Tightness
- Piano Key Test
- Radiology of the Wrist
- Watson test
- Tendon Exam:
      - an extended finger indicates laceration of both tendons;
      - it is possible to extend a finger w/ a variable degree of extensor lag
            even if the long extensor tendon is cut, becuase of connections
            between the extensor tendons at the level of the MP joint;
- Compartment     Contents         Pathologic Conditions
      1           APL, EPB               DeQuervain's Disease
      2           ECRL, ECRB         Tennis elbow
      3           EPL                               Rupture at Lister's tubercle
      4           EDC, EIP                 Extensor Tenosynovitis
      5           EDM                   rupture (rheumatoid)
      6           ECU                         snapping at ulnar styloid
  Importance of soft-tissue evaluation in hand and wrist trauma: statistical
      evaluation.



Original Text by Clifford R. Wheeless, III, MD.