1. Neurologic and Musculoskeletal physical exam
دکترامیر هوشنگ واحدی
متخصص طب فیزیکی و توانبخشی
Wrist &hand 1

2. Fig. 4.1a–s
a Flexion and extension of the wrist including the intercarpal joint. b Radial and ulnar deviation of the hand.
c, d Designations of the joints of the fingers (c) and thumb (d):DIP = distal interphalangeal joint, PIP = proximal interphalangeal joint,MCP =metacarpophalangeal joint, IP = interphalangeal joint (of the thumb),CMC = carpometacarpal joint
e, f Abduction and adduction to the plane of the palm.

3. g, h Palmar abduction and adduction of the thumb perpendicular to the plane
of the palm.
i–k Circumduction of the extended thumb.
l, m Flexion of the finger joints: DIP and PIP joints (l) and MCP joint (m). n Hyperextension of the MCP joint. o, p Flexion of the thumb joints: the MCP 1 joint (o) and the IP joint (p).
q–s Opposition of the thumb: starting position (q), during motion (r), and in opposition position (s)