Wrist

History & Examination summary

• History
• pain
  • where,radiation,type
  • how long, progression, when,nocte
  • aggrevating,relieving
• other
  • stiffness
  • instability
  • click,clunk,catch
  • numb, weakness, radiculopathy
• function
  • Home (ADLs)
    • Bedroom
      • Dressing, back pocket, rise from chair
    • Bathroom
      • toilet,opposite underarm, comb
    • Kitchen
      • Eat
  • Work
    • Lift, carry
  • Sport
    • throw
• past history
  • neck,treatment,injury,surgery,similar,episodes
• Exam Neck, Shoulder & Wrist

• Exam
• look:swelling,wasting,deformity,scars,ulnar styloid,red
• feel:warmth,tenderness,bony landmarks
• move:crepiations,active & passive ROM (dorsiflexion, palmarflaexion,radial & ulnar deviation, supination & pronation)
• spec:Watsons,Shuck,L/T ballot,midcarpal,piano key, TFCC load,Tinnel
• power,neuro,vascular: (incl. grip strength)