More on the 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
About the Merck Manuals:
First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world's most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers.
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Examination demonstrated by Paul Liebert, MD, Tomah Memorial Hospital.
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