Assessment of Hand and Wrist Conditions

The video tutorial by Mark Fulcher covers the examination of the wrist and hand, emphasizing observation, palpation, and various tests. It begins with observing the resting position of the hand and identifying any abnormalities. The tutorial then details palpation of key wrist and hand landmarks, including the scaphoid and ulnar collateral ligament. Range of motion tests for the wrist are demonstrated, followed by specific tests for wrist, hand, thumb, and finger integrity. The video concludes with tests for carpal tunnel syndrome, providing a comprehensive guide to assessing wrist and hand health.

What is a key observation to make when examining the resting position of the hand?

• The length of the fingers

• The presence of any swelling

• The temperature of the skin

• The color of the fingernails

Which landmark is important for locating the scapholunate interval?

• Pisiform bone

• Lister's tubercle

• Ulnar styloid

• Radial styloid

What movement is assessed by asking the patient to push their elbows up with palms together?

• Wrist flexion

• Forearm pronation

• Radial deviation

• Wrist extension

Which test is used to assess the integrity of the scapholunate ligament?

• Grind test

• Watson's test

• Phalen's test

• Tinel's sign

What is the purpose of the grind test?

• To assess the ulnar collateral ligament

• To evaluate the triangular fibrocartilage complex

• To test for carpal tunnel syndrome

• To check for mallet finger

How is the ulnar collateral ligament of the thumb tested?

• By applying stress in full extension and thumb flexion

• By flexing the proximal interphalangeal joint

• By tapping over the carpal tunnel

• By circumducting the wrist

Which tendon is responsible for flexing the finger at the proximal interphalangeal joint?

• Flexor digitorum profundus

• Flexor digitorum superficialis

• Extensor digitorum

• Flexor pollicis longus

What symptom might suggest carpal tunnel syndrome?

• Drooping of the distal interphalangeal joint

• Swelling in the wrist

• Pain and parasthesia in the fingers

• Inability to flex the thumb

Which test involves holding the backs of the hands together in forced flexion?

• Tinel's sign

• Watson's test

• Phalen's test

• Grind test

What is a common cause of peripheral nerve entrapment in the hand?

• Ulnar collateral ligament injury

• Scaphoid fracture

• Carpal tunnel syndrome

• Mallet finger