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Wrist and hand examination example, Assignments of Physical Medicine and Rehabilitation (PM&R)

Indicates important aspect of a complete hand and wrist exam

Typology: Assignments

2024/2025

Uploaded on 04/10/2025

melissa-ashley
melissa-ashley 🇺🇸

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WRIST/HAND R L
Injury_____________________________________________________________________________________(Date)________
Noninjury_____ How long has the problem been active ___________________________________________
Sharp (when) _______________ Dull/Ache (when) __________ Constant (at rest) __________
Stiffness_____ Weakness______ Swelling _____ Numbness_____ (when) _______ Mass/cyst____
Wake from sleep _____
Pain Level (rest)____/10 (activity)____/10 Maximum point of pain_____
What makes it worse: ______________________ Better: _____________________
Been seen for this in the past: ______________________ What tests or treatment_____________________
Inspection: Ecchymosis Erythema/warmth Edema/Swelling Effusion Wound Nails Deformity Atrophy
______________________________________________________________________________________
______________________________________________________________________________________
Pain Location/Palpation: Hand/Wrist. Radial ____ Dorsal ____ Ulnar ____ Volar ____
Phalanges/Phalangeal joint: DIP___ PIP___ MCP___ CMC ___
Wrist: Flexion_______ Extension _____ Resisted wrist flexion _____ Resisted wrist extension _____ Pronation/supination _____
Radial deviation ______ Ulnar deviation ______ Snuff Box ____ Piano Key _____ TFCC compression test (ulnar dev) _______
Grip: _____ Tinel’s _____ Durkan Carpal Compression ______ Finkelstein ____
Phalen (gravity flex x 60 sec) _____ Froment (paper)
Fingers: Abd _____ Add ____ Mallet (active ext) ______
Thumb opp ______ Thumb Flex/Exten _________ Thumb resisted abd strength ______ Thumb MCP/UCL ____
Grind ________ CMC relocat test ________ Crepitus ________
Sensation: ________
Imagining: _______________________________________________________________________________________________
________________________________________________________________________________________________________
_________________________________________________________________________________________________________
MRI:

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WRIST/HAND R L

Injury_____________________________________________________________________________________(Date)________ Noninjury_____ How long has the problem been active ___________________________________________ Sharp (when) _______________ Dull/Ache (when) __________ Constant (at rest) __________ Stiffness_____ Weakness______ Swelling _____ Numbness_____ (when) _______ Mass/cyst____ Wake from sleep _____ Pain Level (rest)____/10 (activity)____/10 Maximum point of pain_____ What makes it worse: ______________________ Better: _____________________ Been seen for this in the past: ______________________ What tests or treatment_____________________ Inspection: Ecchymosis Erythema/warmth Edema/Swelling Effusion Wound Nails Deformity Atrophy



Pain Location/Palpation: Hand/Wrist. Radial ____ Dorsal ____ Ulnar ____ Volar ____ Phalanges/Phalangeal joint: DIP___ PIP___ MCP___ CMC ___ Wrist: Flexion_______ Extension _____ Resisted wrist flexion _____ Resisted wrist extension _____ Pronation/supination _____ Radial deviation ______ Ulnar deviation ______ Snuff Box ____ Piano Key _____ TFCC compression test (ulnar dev) _______ Grip: _____ Tinel’s _____ Durkan Carpal Compression ______ Finkelstein ____ Phalen (gravity flex x 60 sec) _____ Froment (paper) Fingers: Abd _____ Add ____ Mallet (active ext) ______ Thumb opp ______ Thumb Flex/Exten _________ Thumb resisted abd strength ______ Thumb MCP/UCL ____ Grind ________ CMC relocat test ________ Crepitus ________ Sensation: ________ Imagining: _______________________________________________________________________________________________



MRI: