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Chapter-220 Examination of the Wrist

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Pandey Sureshwar
ISBN
9789385891052
DOI
10.5005/jp/books/12869_221
Edition
3/e
Publishing Year
2016
Pages
7
Author Affiliations
1. GNH Handicapped Children Hospital and RJS Artificial Limb Centre, Ranchi, Founder and Chairman Ram Janam Sulakshana Pandey Cancer Hospital and Research and Rehabilitation Centre, Ranchi, Rajendra Medical College, Ranchi, Jharkand, University of Ranchi, Ranchi, Jharkhand, India, Ramjanam Sulakshana (RJS) Institute of Orthopedics and Research, Ranchi, Jharkhand, India; Universities of Tokyo, Osaka, Teikyo, Adelaide, Flinders, Ujung Pandang and Singapore; Ramjanam Sulakshana Pandey Cancer Hospital and Research and Rehabilitation Center, Ranchi, Jharkhand, India; Asia-Pacific Society for Foot and Ankle Surgery
Chapter keywords
Wrist, wrist joint, regional examination, local examination, palpation, distal radioulnar joint, swelling, forearm, palmar flexion, dorsiflexion, ulnar deviation, extensor pollicis longus, palmaris longus, linear measurement, circumferential measurement

Abstract

This chapter presents a glimpse on examination of the wrist. For all practical purpose, in the clinical assessment, the local examination of the wrist includes the forearm and the hand. The wrist joint proper is the articulation of the lower articular end of the radius and the inferior surface of the triangular fibrocartilage at the proximal end and the proximal articular surface of scaphoid, lunate and triquetral at the distal end. The methodology for examination of the wrist includes history taking, regional examination, local examination, inspection, palpation, assessment of instability of distal radioulnar joint, and examine for common swellings around the wrist joint which are briefly described in this chapter. The movements of the forearm joints result in pronation and supination of the hand. Extensor pollicis longus, extensor digitorum, palmaris longus and flexor carpi ulnaris are the test for function of important tendons. The linear measurement of the wrist region is more or less the same as for that of the upper limb. Circumferential measurement should be done at the joint level, i.e. the tape passing around both the styloid tips.

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