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PASSIVE TEST FOR THE TRAPEZIUM-FIRST METACARPAL JOINT

Backwards movement during extension

Positioning.

The subject stands with the arm hanging and the elbow bent to 90° and in supination.The examiner faces the subject. One hand grasps the hand and stabilizes it.

Procedure.

The other hand moves the thumb into extension first and then backwards.

Common mistakes.

The thumb is hyperextended in […]

Elbow, wrist and hand

Wrist and hand rehabilitation

Because the function of the wrist and hand is essential to daily activities, special care is needed to avoid compromising the functional integrity of these structures. In addition to range-of-motion and strengthening exercises, attention should be paid to dexterity exercises and to tactile senses. The wrist and hand are a series […]

Hand Injuries

The hand is one of the most common sites of injury during athletic competition. The palm consists of five metacarpal bones, one for each digit. The metacarpals in the middle of the hand have very little motion and provide a stable palm, while the little finger and especially the thumb have significantly more motion to […]

A Patient’s Guide to Wrist Anatomy

Introduction

The anatomy of the wrist joint is extremely complex, probably the most complex of all the joints in the body. The wrist is actually a collection of many bones and joints. These bones and joints let us use our hands in lots of different ways. The wrist must be extremely mobile to give our […]

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 Scaphoid Fracture of the Wrist

Introduction

Doctors commonly diagnose a sprained wrist after a patient falls on an outstretched hand. However, if pain and swelling don’t go away, doctors become suspicious that the injury is actually more serious. A fall on an outstretched hand commonly breaks the scaphoid bone of the wrist. X-rays taken at the time of the injury […]

A Patient’s Guide to Kienbock’s Disease

Introduction

Kienbock’s disease is a condition in which one of the small bones of the wrist loses its blood supply and dies, causing pain and stiffness with wrist motion. In the late stages of the disease, the bone collapses, shifting the position of other bones in the wrist. This shifting eventually leads to degenerative changes […]

A Patient’s Guide to Ganglions of the Wrist

Introduction

A ganglion is a small, harmless cyst, or sac of fluid, that sometimes develops in the wrist. Doctors don’t know exactly what causes ganglions, but a ganglion that isn’t painful and doesn’t interfere with activity can often be left untreated without harm to the patient. However, treatment options are available for painful ganglions or […]

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

Introduction

The wrist joint is replaced with an artificial joint (also called a prosthesis) much less often than other joints in the body, such as the knee or the hip. Still, when necessary, this operation can effectively relieve the pain caused by wrist arthritis. When severe arthritis has destroyed the wrist joint, artificial wrist replacement […]