Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T06:53:03.019Z Has data issue: false hasContentIssue false

Chapter 4 - Examination of the Wrist

Published online by Cambridge University Press:  22 April 2022

Fazal Ali
Affiliation:
Chesterfield Royal Hospital
Nick Harris
Affiliation:
Spire Hospital, Leeds
Get access

Summary

Examination of the wrist follows the pattern look, move, feel. Then perform provocative or instability tests as indicated. These provocative or instability tests are broadly dictated by the site of tenderness; for example, if there is radial tenderness, perform Finklestein’s test, and if there is tenderness over the scapholunate ligament,perform the Kirk Watson test.

Type
Chapter
Information
Orthopaedic Examination Techniques
A Practical Guide
, pp. 50 - 62
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Wolfe, SW (ed). Green’s Operative Hand Surgery, 6th ed. London: Churchill Livingstone, 2010.Google Scholar
Schmidt-Rohlting, B, Schwöbel, B, Pauschert, R, Niethard, FU. Madelung deformity: clinical features, therapy and results. J Pediatr Orthop B 2001 Oct; 10(4):344348.Google Scholar
Angelides, AC, Wallace, PF. The dorsal ganglion of the wrist: its pathogenesis, gross and microscopic anatomy, and surgical treatment. J Hand Surg Am 1976;1(3):228235.CrossRefGoogle ScholarPubMed
Sanders, WE. The occult dorsal carpal ganglion. J Hand Surg B 1985;10-B(2):257260.Google Scholar
Park, MJ, Namdari, S, Weiss, A-P. The carpal boss: review of diagnosis and treatment. J Hand Surg Am 2008 Mar;33(3):446449.CrossRefGoogle ScholarPubMed
Parvizi, J, Wayman, J, Kelly, P, Moran, CG. Combining the clinical signs improves the diagnosis of scaphoid fractures. A prospective study with follow up. J Hand Surg B 1998;23(3):324327.Google Scholar
Clementson, M, Bjorkman, A, Thomsen, N. Acute scaphoid fractures: guideline for diagnosis and treatment. EFFORT Open Rev 2020 Feb;5(2):96103. Published online.Google Scholar
Grundberg, AB, Reagan, DS. Pathological anatomy of the forearm: intersection syndrome. J Hand Surg Am 1985 Mar;10(2):299302.Google Scholar
Finklestein, H. Stenosing tendovaginitis of the radial styloid process. J Bone Joint Surg Am 1930;12-A:509540.Google Scholar
Browne, J, Helms, CA. Intersection syndrome of the forearm. Arthritis Rheum 2006 Jun;54(6):2038.Google Scholar
Watson, HK, Ashmead, D, Makhlouf, MV. Examination of the scaphoid. J Hand Surg Am 1988;13-A(5):657660.Google Scholar
Lane, LB. The scaphoid shift test. J Hand Surg Am 1993 18-A:366368.Google Scholar
Cooney, W (ed). The Wrist: Diagnosis and Operative Treatment, 2nd ed. Philadelphia: Wolters Kluwer / Lippincott, Williams and Wilkins, 2010.Google Scholar
Easterling, KJ, Wolfe, SW. Scaphoid shift in the uninjured wrist. J Hand Surg Am 1994;19-A(4): 604606.Google Scholar
Feinstein, WK, Lichtman, DM, Noble, PC, Alexander, JW, Hipp, JA. Quantitative assessment of the midcarpal shift test. J Hand Surg Am 1999;24-A(5):977983.CrossRefGoogle Scholar
Tubiana, R, Thomine, J, Mackin, E. Examination of the Hand and Wrist. London: Martin Dunitz, 1998.Google Scholar
Stanley, J, Saffar, P. Wrist Arthroscopy. London: Martin Dunitz, 1994.Google Scholar
Sammer, DM, Rizzo, M. Ulnar impaction. Hand Clin 2010 Nov;26(4):549557.CrossRefGoogle ScholarPubMed
Nakamura, R, Horii, E, Imaeda, T, et al. The ulnocarpal stress test in the diagnosis of ulnar-sided wrist pain. J Hand Surg B 1997;22-B(6):719723.Google Scholar
Reagan, DS, Linscheid, RL, Dobyns, JH. Lunotriquetral sprains. J Hand Surg Am 1984;9-A(4):502514.CrossRefGoogle Scholar
Sachar, K. Ulnar sided wrist pain: evaluation and treatment of triangular fibrocartilage complex tears, ulnocarpal impaction syndrome, and lunotriquetral ligament tears. J Hand Surg Am 2008 Nov;33(9):16691679.CrossRefGoogle ScholarPubMed
Palmer, AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 1989;14;594606.CrossRefGoogle ScholarPubMed
Adams, BD, Berger, RA. An anatomic reconstruction of the distal radioulnar ligaments for posttraumatic distal radioulnar joint instability. J Hand Surg Am 2002;27;243251.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×