Hand and wrist complaints are common presentations to Accident and Emergency, general practice, orthopaedic and rheumatoid clinics. Some hospitals may have special "hand" clinics. Common acute problems include fractures, tendonitis and trigger finger. Common chronic problems include carpal tunnel syndrome , ganglions and arthritis. There are three main conditions commonly examined on in this station — osteoarthritis, rheumatoid arthritis and psoriatic arthritis.
De Quervain’s Tenosynovitis
Wrist and Hand Examination - Physiopedia
Fritz de Quervain, who first identified it in These tendons, which are associated with the two muscles that allow you to move your thumb away from your hand, run side-by-side from your forearm to your thumb inside membranes called synovial sheaths. When healthy, the tendons glide smoothly inside the sheaths. However, if the tendons become inflamed or the synovial sheath thickens, this restricts movement of the tendons and produces pain. It has a tendency to develop during pregnancy, when fluid may be retained. It may also develop during menopause. This condition is also common to people who use their hands in repetitive motions, such as constant gripping, forcefully bending the wrist, placing the wrist in awkward positions, or engaging in lifting or pinching activities.
Hand and Wrist Examination
As the examiner, visually inspect the dorsal aspect of the hand. Normally the knuckle formed by the head of the third metacarpal is more prominent and protrudes further distally as compared to the knuckles of the second and fourth metacarpal heads. If the knuckle of the third metacarpal head is level with the knuckles of the second and fourth metacarpal heads, the sign is positive and indicative of a lunate dislocation.
Special tests Special tests are performed to rule injuries out. They are also performed so the athletic trainer has a better understanding of what the injury may be. The examiner stands in front of the subject.