Wrist and Hand
Original Editors - Rachael Lowe
Top Contributors - Kim Jackson, Rachael Lowe, Lucinda hampton, George Prudden, Laura Ritchie, Joao Costa, Wendy Snyders, Mande Jooste, Admin, Cheryl Rentchler, Nikhil Benhur Abburi, Abdallah Ahmed Mohamed, Tony Lowe and Evan Thomas
Introduction[edit | edit source]
The upper limb has sacrificed locomotor function and stability for mobility, dexterity and precision. The hand sits at the end of the upper limb and is a combination of complex joints whose function is to manipulate, grip and grasp- this is made possible by the opposing movement of the thumb.[1]
Anatomy[edit | edit source]
The hand and wrist have a total of 27 bones arranged to roll, spin and slide[2]; allowing the hand to explore and control the environment and objects. The hand is divided into three regions[3]:
- Proximal region of the hand is the carpus (wrist)
- The middle region the metacarpus (palm)
- The distal region the phalanges (fingers).
Clinical Examination[edit | edit source]
- Wrist & Hand Examination
- Special Tests
- Outcome Measures
Conditions[edit | edit source]
- Carpel Tunnel Syndrome
- De Quervains
- Wrist Sprain
- Carpel Instability
- Colles Fracture
- Smiths Fracture
- Scaphoid Fracture
- Wrist & Hand Osteoarthritis
- Rheumatoid Arthritis
- Complex Regional Pain Syndrome
- Triangular Fibrocartilage Complex Injuries
- Gamekeeper’s Thumb
- Blackberry Thumb
- Lunate Instability
- Hamate Fracture
- Ape Hand
- Benediction Hand
- Claw Hand
- Dupuytren’s Contracture
- Metacarpal Fractures
- Extensor Mechanism Injuries
- Flexor Tendon Injuries
- Ulnocarpal Impaction Syndrome
- Lunotriquetral Ligament Tears
Procedures[edit | edit source]
- ↑ Palastanga N, Soames R. Anatomy and Human Movement: Structure and Function. 6th Ed. London: Churchill Livingstone, 2012.
- ↑ Maitland, G.D. Maitland's Peripheral Manipulations. 3rd Edition Edinburg: Elsevier Butterworth-Heinemann, 1999.
- ↑ Physical Examination of the Spine and Extremities. Hoppenfield, S. New York: Appleton-Century-Crofts, 1976.
