Specialists

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SPECIFIC TESTS

Combined plantar flexion-inversion Significance.

This movement brings all the lateral structures of ankle and foot under stretch and is therefore an extremely important test in sprained ankles.

Positioning.

The heel rests on the couch, the knee is slightly flexed and the ankle is in neutral position. The examiner is distal to the foot. […]

Palpation of soft tissue

Feel for the pisiform bone and place the palpating finger against its proximal aspect. Ask the subject to actively abduct the little finger. The tightening of the flexor carpi ulnaris can be felt.The tendon can now be followed distal to the pisiform until its insertion on the base of the fifth metacarpal bone. The pisiform […]

Palpation of soft tissue

Radius and ulna can be identified. At the distal and ulnar side of the ulna a bony prominence can be felt: the pisiform bone. Put the interphalangeal joint of the thumb onto the pisiform and direct the thumb towards the base of the index finger of the subject. Flex the thumb and feel its tip […]

Ulnar

At the distal end of the ulna the small styloid process is palpable. Just distal to it the triquetra I bone becomes prominent when the subject moves the hand in radial deviation. When the palpating finger is moved even more distally and the hand is brought back to the neutral position the base of the […]

Palpation of soft tissue

Place one finger just radially to the dorsal tubercle of the radius. Ask the subject to make a first and to squeeze and unsqueeze it. During this action tendinous tightening can be felt. These are the tendons of the extensor carpi radialis longus and extensor carpi radialis brevis. When the subject continues these muscular contractions […]

Dorsal

Radius and ulna are easily palpable. The styloid process of the radills descends a bit further distally than the styloid process of the ulna. The distal radioulnar joint can be recognized by grasping the distal end of the radius with one hand and the distal end of the ulna with the other, and by moving […]

Wrist-RADIAL

At the distal end of the radius the styloid process can be palpated. Slightly more proximally on the radius a small groove can be found.Just distally to the styloid process the scaphoid (navicular) bone is palpable. It can be made more prominent by asking the subject to execute ulnar deviation of the wrist. When the […]

A Patient’s Guide to Wrist Fusion

Introduction

Arthritis of the wrist has many causes, and there are many ways of treating the pain. These treatments can be very successful, at least for awhile. But eventually the entire wrist can become so painful that nonsurgical treatments don’t work anymore. At this point, your surgeon may recommend a wrist fusion. Wrist fusion may […]

A Patient’s Guide to Artificial Joint Replacement of the Finger

Introduction

If nonsurgical treatments are not successful in easing problems of finger arthritis, your doctor may recommend replacing the surfaces of the joint. Joint replacement surgery is called joint arthroplasty.

This guide will help you understand

what parts make up the finger joint how the operation is performed what to expect before and after surgery […]