Physical examination of the wrist.

Abstract:

:A complete examination of the wrist requires both an accurate history and a thorough understanding of carpal anatomy, biomechanics, and pathology. A thorough examination may necessitate evaluation of the radial and ulnar aspects of the carpus as well as potential extra-articular causes of wrist pain. A carefully obtained history is essential to focus the examination. Our standard approach to the examination of radial wrist pain consists of five maneuvers: (1) ANA, (2) scaphotrapezial trapezoid (STT), (3) DWS, (4) SS, and (5) FET. Additional diagnostic tests, as described, are indicated by ulnar wrist or extra-articular symptomatology. Substitution maneuvers serve to distinguish between actual and fictitious findings on examination.

journal_name

Hand Clin

journal_title

Hand clinics

authors

Watson HK,Weinzweig J

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

17-34

issue

1

eissn

0749-0712

issn

1558-1969

journal_volume

13

pub_type

杂志文章,评审
  • Complications of the management of carpal tunnel syndrome.

    abstract::The recognition and frequency of treatment of carpal tunnel syndrome has increased over the past several years. As a result, more complications of treatment are being seen. These can be minimized by accurate diagnosis, proper selection of treatment, and careful technical application of the treatment chosen. ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Kessler FB

    更新日期:1986-05-01 00:00:00

  • The distal radioulnar joint complex in rheumatoid arthritis: an overview.

    abstract::Rheumatoid arthritis frequently involves the distal radioulnar joint region and is progressive. Early recognition of involvement is paramount to offering patients appropriate and timely treatment. Early operative intervention should be considered preventative. Synovectomy, hemiresection interposition technique, matche...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Clawson MC,Stern PJ

    更新日期:1991-05-01 00:00:00

  • Management of Spinal Cord Injury-Induced Upper Extremity Spasticity.

    abstract::Spasticity affects more than 80% of patients with spinal cord injury. Neural mechanisms and musculotendinous alterations lead to typical upper extremity features including shoulder adduction/internal rotation, forearm pronation, and elbow, wrist, and finger flexion. Long-standing spasticity may lead to soft tissue and...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2018.07.001

    authors: Gohritz A,Fridén J

    更新日期:2018-11-01 00:00:00

  • Endoscopic carpal tunnel release. Chow technique.

    abstract::The first cases using the set of instruments designed by James C. Y. Chow, MD, of Mount Vernon, Illinois, were performed in September of 1987 by the developer. His was the first written introduction of the technique of endoscopically assisted carpal tunnel release published by a US author. This technique has been prac...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Fischer TJ,Hastings H 2nd

    更新日期:1996-05-01 00:00:00

  • Microsurgical Reconstruction of the Burned Hand and Upper Extremity.

    abstract::Improvements in critical care and burn victim resuscitation have led to increased survival of burned patients. Initial resuscitation, early excision of burned tissues, prevention of burn wound sepsis, and wound coverage remain mainstays of care. Many burn wounds require complex reconstruction. This is particularly imp...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2016.12.007

    authors: De la Garza M,Sauerbier M,Günter G,Cetrulo CL Jr,Bueno RA Jr,Russell RC,Neumeister MW

    更新日期:2017-05-01 00:00:00

  • Malunions of the finger metacarpals and phalanges.

    abstract::Many malunions of the finger metacarpals are mild and do not require or justify operative intervention. Early recreation of the fracture or osteotomy is more likely to be rewarded with favorable results than late operation. Rotational malunions of the metacarpals or proximal phalanges may be treated by transverse extr...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2006.03.001

    authors: Freeland AE,Lindley SG

    更新日期:2006-08-01 00:00:00

  • Acute dislocations of the distal radioulnar joint and distal ulna fractures.

    abstract::This article reviews acute dislocations of the distal radioulnar joint (DRUJ) and distal ulna fractures. Acute dislocations can occur in isolation or in association with a fracture to the distal radius, radial metadiaphysis (Galeazzi fracture), or radial head (Essex-Lopresti injury). Distal ulna fractures may occur in...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2010.05.009

    authors: Carlsen BT,Dennison DG,Moran SL

    更新日期:2010-11-01 00:00:00

  • Operative fixation of metacarpal and phalangeal fractures in athletes.

    abstract::Metacarpal and phalangeal fractures are common athletic injuries that can significantly affect the athlete's career when they occur during the season and affect the athlete's training when they occur in the off season. This situation is particularly relevant if there are complications or if fixation is not stable enou...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2009.05.005

    authors: Geissler WB

    更新日期:2009-08-01 00:00:00

  • Endoscopic carpal tunnel release. A current perspective.

    abstract::Carpal tunnel syndrome is defined as a clinical condition related to dysfunction of the median nerve specifically related to the carpal tunnel. This article reviews anatomy, current surgical treatment options, technique, indications and contraindications, efficacy, complications, and the author's own perspective on th...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Berger RA

    更新日期:1994-11-01 00:00:00

  • Common disorders of the elbow in athletes and musicians.

    abstract::This article discusses the importance of the elbow in both sports and performing arts. Functional, painless motion of the elbow is essential to achieve this end because although most objects of play are controlled by the hand, freedom of movement at the elbow allows one to place the hand in space. Anatomy and biomecha...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Hotchkiss RN

    更新日期:1990-08-01 00:00:00

  • Distraction method for chronic dorsal fracture dislocation of the proximal interphalangeal joint.

    abstract::The authors used gradual ligamentous distraction for closed reduction of nine irreducible dorsal fracture dislocations of the PIP joint. The volar fragment size was equal to or less than 40% in five and more than 50% in four. The average follow up was 18 months. The sequence of treatment required distraction, translat...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Patel MR,Joshi BB

    更新日期:1994-05-01 00:00:00

  • Complications in tendon injury and surgery.

    abstract::Despite continued improvement in the methods used to treat tendon injury, problems still arise. Careful attention paid to the details of surgical indications, technique, and postoperative management will prevent or reduce the effects of complications in this difficult area of hand surgery. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Schneider LH

    更新日期:1986-05-01 00:00:00

  • Proximal ulnar nerve compression. Cubital tunnel syndrome.

    abstract::Ulnar nerve compression about the elbow is common. If diagnosed and treated early, satisfactory results can be expected. Severe chronic nerve compression may lead to permanent nerve damage. The diagnosis can be made by careful history, physical examination, knowledge of the nerve anatomy, and sometimes electrodiagnosi...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Rayan GM

    更新日期:1992-05-01 00:00:00

  • Ulnar collateral ligament reconstruction.

    abstract::Since the first description of an ulnar collateral ligament (UCL) tear at the elbow 60 years ago and the first description of surgical reconstruction 20 years ago, many advances have been made in management and surgery. UCL tears at the elbow remain a disease of the overhead athlete. Various imaging studies have been ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2007.11.011

    authors: Meyers A,Palmer B,Baratz ME

    更新日期:2008-02-01 00:00:00

  • Diagnosis and clinical findings of Kienböck's disease.

    abstract::The clinical presentation and history of patients with Kienböck's disease do not permit differentiating avascular necrosis of the lunate from vague wrist pathology of a variety of causes. Diagnosis and evaluation of this disorder therefore require appropriate imaging studies. Plain-film radiography, tomography, and bo...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Szabo RM,Greenspan A

    更新日期:1993-08-01 00:00:00

  • Treatment of osteoarthritis in the hand and wrist. Nonoperative treatment.

    abstract::Osteoarthritis should initially be treated conservatively with the use of oral medication, intra-articular steroid injections, hand therapy, and splinting. The reduction of pain and the resultant increase in function to the patient are the ultimate goals of this treatment. ...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Palmieri TJ,Grand FM,Hay EL,Burke C

    更新日期:1987-08-01 00:00:00

  • Somatic versus sympathetic mediated chronic limb pain. Experience and treatment options.

    abstract::It has been helpful in our practice to separate somatic from sympathetic-mediated peripheral nerve pain. We would recommend application of the new nomenclature of type I complex regional pain (sympathetic dystrophy) and type II complex regional pain (causalgia) (see Table 1). We believe it is essential that both of th...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Cooney WP

    更新日期:1997-08-01 00:00:00

  • Scaphocapitate fusion in the treatment of Kienböck's disease.

    abstract::The primary treatment goal for Kienböck's disease remains decompression of the lunate. Although a number of treatment options are available, scaphocapitate fusion is our first choice in many cases of Kienböck's disease. Scaphocapitate fusion mechanically decompresses the lunate and prevents progressive carpal instabil...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Moy OJ,Peimer CA

    更新日期:1993-08-01 00:00:00

  • Evaluating the injured hand.

    abstract::Evaluation of the injured hand is undertaken to assess an acute injury, to diagnose chronic injuries prior to reconstruction, to evaluate function, and to evaluate disability. This article discusses the special evaluation method for each of these categories. ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Gupta A,Kleinert HE

    更新日期:1993-05-01 00:00:00

  • Rehabilitation following motor nerve transfers.

    abstract::Cortical mapping and relearning are key factors in optimizing patient outcome following motor nerve transfers. To maximize function following nerve transfers, the rehabilitation program must include motor reeducation to initiate recruitment of the weak reinnervated muscles and to establish new motor patterns and corti...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2008.06.001

    authors: Novak CB

    更新日期:2008-11-01 00:00:00

  • Current management of metacarpal fractures.

    abstract::Metacarpal fractures are common, and many can be managed nonoperatively with appropriate reduction and immobilization. As with any hand fracture, the primary goals are to achieve anatomic and stable reduction, bony union, and early mobilization to minimize disability. Appropriate treatment requires a keen understandin...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2013.09.004

    authors: Diaz-Garcia R,Waljee JF

    更新日期:2013-11-01 00:00:00

  • A Systematic Review of Orthopedic Global Outreach Efforts Based on WHO-CHOICE Thresholds.

    abstract::Injury and musculoskeletal disorders are a major cause of death, disability, and decreased quality of life in developing countries. Thus, understanding the cost-effectiveness of orthopedic care in low- and middle-income countries may help to guide future outreach. A systematic review was conducted on the literature av...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:10.1016/j.hcl.2019.07.015

    authors: Nolte MT,Nasser JS,Chung KC

    更新日期:2019-11-01 00:00:00

  • The role of operative arthroscopy for the diagnosis and treatment of lesions about the distal ulna.

    abstract::Operative arthroscopy of the wrist compliments the physical examination and radiographic imaging to improve diagnosis and treatment of lesions about the distal ulna. This article reviews the relevant anatomy, biomechanics, and classification of acute and degenerative lesions of the triangular fibrocartilage complex (T...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Fulcher SM,Poehling GG

    更新日期:1998-05-01 00:00:00

  • Psoriatic arthritis in the hand.

    abstract::Psoriatic arthritis is a polyarthropathy distinct from rheumatoid arthritis and associated with onychodystrophy and skin lesions. Patients present with stiffness, flexion and extension contractures, digital swelling, or painful joints. Psoriatic arthritis mutilans is a rapidly progressive osteolysis resulting in sever...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Rose JH,Belsky MR

    更新日期:1989-05-01 00:00:00

  • Management of acute and chronic vascular injuries to the arm and forearm. Indications and technique.

    abstract::Acute arterial injuries of the upper extremity account for half of civilian arterial injuries in the United States. The great majority of these injuries are due to penetrating trauma, with stab wounds and gunshot wounds being the most common cause. The history of the injury and a careful physical examination will iden...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Hammond DC,Gould JS,Hanel DP

    更新日期:1992-08-01 00:00:00

  • The physiology of nerve transplantation.

    abstract::As microsurgical techniques improve, attempts to restore function after severe nerve injury place greater demands upon the use of nerve grafts. Viable Schwann cells within these grafts are necessary to maximize nerve regeneration. Progress in decreasing nerve allograft antigenicity and the host response through immuno...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Trumble TE,Shon FG

    更新日期:2000-02-01 00:00:00

  • Cumulative trauma disorder of the upper limb.

    abstract::The current status of cumulative trauma disorder of the upper limb is examined from the standpoint of its long history, its current controversies, and the philosophic basis of the present laws, which control management of the condition. The future needs that should permit cumulative trauma disorders to be better under...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Dobyns JH

    更新日期:1991-08-01 00:00:00

  • Management of complications of congenital hand disorders.

    abstract::This article reviews treatment and presents complications seen in the treatment of 7 common congenital hand differences, including syndactyly, camptodactyly, ulnar and radial polydactyly, thumb hypoplasia, radial longitudinal deficiency, and epidermolysis bullosa. The management of these conditions is challenging but ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2015.01.011

    authors: Comer GC,Ladd AL

    更新日期:2015-05-01 00:00:00

  • Ulnar artery thrombosis.

    abstract::Management of ulnar artery thrombosis is a complex problem. Diagnosis is confirmed by Allen testing; other special studies are needed for adequate evaluation of circulation, and arteriography is necessary before definitive therapy can be planned. Treatment must be patient oriented and directed at the underlying abnorm...

    journal_title:Hand clinics

    pub_type: 杂志文章

    doi:

    authors: Koman LA,Urbaniak JR

    更新日期:1985-05-01 00:00:00

  • Free skin flap coverage of the upper extremity.

    abstract::Successful soft tissue reconstruction of the upper extremity must provide stable coverage and restore function to the injured hand. To ensure the best possible outcome after traumatic upper extremity injuries, early radical debridement and early flap coverage that restores all missing tissue components is critical to ...

    journal_title:Hand clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.hcl.2014.01.003

    authors: King EA,Ozer K

    更新日期:2014-05-01 00:00:00