How to Examine the Hand | Merck Manual Professional Version

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Merck Manuals
Published at : 23 Nov 2020
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More on the evaluation of hand disorders: http://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/hand-disorders/overview-and-evaluation-of-hand-disorders

How to examine the hand, including the following:
• Inspection (eg, for resting finger orientation, palmar and dorsal hand, metacarpophalangeal and interphalangeal joints)
• Checking between the metacarpal bones and on the thenar and hypothenar eminences for muscle atrophy
• Palpation for tenderness
• Checking range of motion and strength of intrinsic hand muscles and for weakness in the territory of the posterior interosseus nerve
• Checking flexion of the flexor digitorum superficialis and the flexor digitorum profundus tendons
• Checking for trigger finger
• Checking for stability of the ulnar collateral ligament
• Doing the Tinnel and Phelan tests for carpal tunnel syndrome
• Checking for cubital tunnel syndrome
• Testing two-point discrimination

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Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
Hand deformitiesortho examhand exam

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