Wrist

History & Examination summary

  • History
  • pain
    • where, radiation, type
    • how long, progression, when, nocte
    • aggravating, 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:crepitations, active & passive ROM (dorsiflexion, palmarflexion, radial & ulnar deviation, supination & pronation)
  • spec:Watsons, Shuck, L/T ballot, midcarpal, piano key, TFCC load, Tinel
  • power, neuro, vascular: (incl. grip strength)