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Indicates important aspect of a complete hand and wrist exam
Typology: Assignments
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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: