Trapezium is by the thumb, Trapezoid is inside

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2 Trapezium is by the thumb, Trapezoid is inside

3 Intercarpal Jt Radiocarpal Jt Distal Middle Proximal DIP PIP Interphalangeal Jts Metacarpalphalangeal (MCP) Jt Metacarpal Carpometacarpal (CMC) Jt Trapezium Scaphoid Lunate Triquetral TFCC Radius Ulna

4 Volar Plate IP Collateral Ligaments Volar Plate MCP Collateral Ligaments CMC Deep Transverse Metacarpal Radial Collateral Dorsal Radiocarpal Radioscaphoid Intercarpal Jts. Radiocarpal Named for 2 bones Radiotriquetral Ulnar Collateral Ulna Ulnolunate Ulnotriquetral

5 P ECU EDC ECRL ECRB M L FCU FDP FCR FDS PL A

6 EXTRINSIC FINGERS Flexors Flexor Digitorum Superficialis Flexor Digitorum Profundus Extensors Extensor Digitorum Communis Extensor Indicis Extensor Digiti Minimi EXTRINSIC THUMB Flexors Flexor Pollicis Longus Extensors /Abductors Extensor Pollicis Longus Abductor Pollicis Longus Extensor Pollicis Brevis

7 INTRINSIC MUSCLES Thenar Eminence Opponens Pollicis Abductor Pollicis Brevis Flexor Pollicis Brevis Hypothenar Eminence Opponens Digiti Minimi Abductor Digiti Minimi Flexor Digiti Minimi Other Intrinsics Lumbricals Dorsal Interosseii Palmar Interosseii Adductor Pollicis Pads & Dabs 4 Door

8 Wrist Muscle Joint Interaction Motion Prime Mover(s) Flexion Extension Radial Deviation Ulnar Deviation

9 Finger Muscle Joint Interaction Motion Prime Mover(s) Flexion Extension Abduction Adduction

10 Radial Nerve Ulnar Median

11 Brachial Vascular Radial Ulnar Deep Palmar Arch Superficial Palmar Arch

12 Scaphoid Fracture Colles Fracture BONE Hamate Fracture Boxer s Fracture

13 Ganglion Gamekeeper s (Skier s) Thumb Wrist JOINT Fingers Sprains Hand Lunate Dislocation Dislocation

14 Finger Tendinitis Boutonniere Deformity Mallet Finger Jersey Finger Wrist MUSCLE / TENDON Tenosynovitis Thumb De Quervain s (Hoffman s) Disease

15 NERVE Median Carpal Tunnel Syndrome

16 Ape Hand Dupuytren s Contracture Bishop s Deformity Claw Hand OBSERVATION HAND Swan Neck Deformity Volkmann s Contracture

17 Subungual Hematoma Felon OBSERVATION FINGERS Deformities Alignment Paronychia

18 WRIST, HAND, FINGER, PALPATION GUIDE Medial Structures Lateral Structures Carpal Bones Medial Epicondlye Lateral Epicondle Ulnar Styloid Process Pisiform Lister's Tubercle Flexors Extensors Triquetrum Hook of Hamate Hypothenar Eminence 3rd Metacarpal Capitate Lunate Metacarpals Phalanges Radial Styloid Process Metacarpals 1-5 MCP Joints Phalanges 1-5 IP Joints Scaphoid/ Navicular Trapezium 1st Metacarpal Thenar Eminence Thenar Web Space Central Compartment

19 Valgus / Varus ROM JOINT Glides

20 Goniometry Wrist Motion Normal ROM Stationary Arm Axis of Rotation Flexion Extension Radial Deviation Ulnar Deviation Moving Arm

21 Goniometry Fingers Motion Normal ROM Stationary Arm Axis of Rotation Moving Arm Flexion Extension Abduction Adduction

22 Finkelstein s Test MUSCLE / TENDON A/RROM

23 Phalen s Test NERVE Tinel s Sign

24 WRIST & HAND CHECKLIST HISTORY General History INSPECTION General Inspection Wrist Hand Thumb and Fingers PALPATION Medial Structures Medial Epicondlye Flexors Lateral Structures Lateral Epicondle Extensors Carpal Bones Ulnar Styloid Process Triquetrum Pisiform Hook of Hamate Hypothenar Eminence Lister's Tubercle 3rd Metacarpal

25 Capitate Lunate Radial Styloid Process Navicular Trapezium 1st Metacarpal Thenar Eminence Thenar Web Space Metacarpals Metacarpals 1-5 Central Compartment MCP Joints Phalanges Phalanges 1-5 IP Joints STRESS Bone Compression Test Joint Wrist Valgus / Varus Wrist Glides MCP Valgus / Varus IP Valgus / Varus

26 Passive ROM Muscle / Tendon Active ROM Resisted ROM Finkelstein's Test Nerve Tinel's Sign Phalen's Test Dermatomes C6 Dermatomes C7 Dermatomes C8 Vascular Radial Pulse

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