Presentation is loading. Please wait.

Presentation is loading. Please wait.

Part 2. Overview  Observation  Examination AROM/PROM Special tests Neurological exam Circulatory exam.

Similar presentations


Presentation on theme: "Part 2. Overview  Observation  Examination AROM/PROM Special tests Neurological exam Circulatory exam."— Presentation transcript:

1 Part 2

2 Overview  Observation  Examination AROM/PROM Special tests Neurological exam Circulatory exam

3 Observation 1. Overall position of person 2. Are they using the involved limb? 3. Is the wrist or hand in an abnormal position? 4. Is the limb hanging limp? 5. Swelling 6. Skin color 7. Signs of trauma 8. Skin temperature

4 Observation 9. Deformities 10. Atrophy 11. Abnormalities 12. Compare 13. Carrying angle 14. Muscle spasm

5 Palpation 1. Navicular /scaphoid 2. Lunate 3. Triquetrium 4. Pisiform 5. Trapezium 6. Trapezoid 7. Capitate 8. Hamate

6 Palpation 9. Lister’s tubercle 10. Metacarpals 11. Phalanges 12. Thenar eminence (base of thumb, palmar aspect) 13. Hypothenar eminence (little finger side, palmar aspect)

7 Palpation 14. Radius 15. Ulna 16. Radial styloid process 17. Ulnar styloid process 18. Metacarpo-phalangeal (MP) joints 19. Proximal Interphalangeal (PIP) joints 20. Distal Interphalangeal (DIP) joints

8 Palpation 21. Anatomical snuff box 22. Tunnel of Guyon 23. Carpal tunnel

9 Palpation: Soft Tissue 1. Median nerve 2. Ulnar nerve 3. Radial nerve 4. Transverse carpal ligament 5. Ulnar collateral ligament 6. Radial collateral ligament 7. Ulnar artery 8. Biceps brachii 9. Brachioradialis 10. Pronator teres 11. Pronator quadratus

10 Palpation: Soft Tissue 12. Supinator 13. Extensor carpi radialis longus 14. Extensor carpi radialis brevis 15. Extensor carpi ulnaris 16. Extensor digitorum 17. Extensor pollicis longus 18. Extensor pollicis brevis

11 Palpation: Soft Tissue 19. Flexor carpi radialis 20. Flexor carpi ulnaris 21. Flexor digitorum profundus 22. Flexor digitorum superficialis 23. Flexor pollicus longus 24. Flexor pollicis brevis 25. Abductor pollicus brevis 26. Adductor pollicus 27. Abductor digiti minimi 28. Palmar interossei 29. Palmaris longus

12 Examination  AROM/PROM  Wrist: 1.Flexion 2.Extension 3.Circumduction 4.Radial deviation 5.Ulnar deviation 6.Supination 7.Pronation

13 Examination  AROM/PROM  Fingers: 1.Flexion (each joint) 2.Extension (each joint) 3.Abduction (of each finger) 4.Adduction (of each finger) 5.Opposition (thumb and 5th finger) 6.Pinch (thumb and index finger)  Thumb: 1.Abduction 2.Adduction 3.Circumduction

14 Neurologic Exam: Sensory  Sensory dermatomes  C2-C3: Occipital area and angle of jaw  C4: Supraclavicular area  Axillary Nerve Patch: Lateral aspect of shoulder  C5: Lateral upper arm  C6: Lateral forearm, thumb, and index finger  C7: Middle finger and palmar aspect of hand  C8: Small finger, ring finger, and medial portion of palmar surface  T1: Medial side of forearm and elbow  T2: Medial aspect of upper arm  T3: Medial aspect of upper arm

15 Neurologic Exam: Motor  C1-C2: Neck flexion  C1-C2: Neck extension  C3: Neck lateral flexion  C4: Shoulder elevation  C5: Shoulder abduction and external rotation  C6: Elbow flexion and wrist extension  C7: Elbow extension and wrist flexion  C8: Thumb abduction and ulnar deviation  T1: Finger approximation

16 Neurologic Exam: Reflexes  Biceps (C5-C6)  Supinator (C5-C6)  Triceps (C7-C8)

17 Circulatory  Carotid  Brachial  Radial


Download ppt "Part 2. Overview  Observation  Examination AROM/PROM Special tests Neurological exam Circulatory exam."

Similar presentations


Ads by Google