Trapezium is by the thumb, Trapezoid is inside

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Transcription:

Trapezium is by the thumb, Trapezoid is inside

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

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

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

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

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

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

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

Radial Nerve Ulnar Median

Brachial Vascular Radial Ulnar Deep Palmar Arch Superficial Palmar Arch

Scaphoid Fracture Colles Fracture BONE Hamate Fracture Boxer s Fracture

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

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

NERVE Median Carpal Tunnel Syndrome

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

Subungual Hematoma Felon OBSERVATION FINGERS Deformities Alignment Paronychia

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

Valgus / Varus ROM JOINT Glides

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

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

Finkelstein s Test MUSCLE / TENDON A/RROM

Phalen s Test NERVE Tinel s Sign

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

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

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