Inspection

Palpation• Ant.:– Biceps Tendon and

Lacertus Fibrosus. – Brachial Artery and

Median Nerve

• Post.:– Olecranon – Ulna– Radius

• Palpation for intersection syndrome.

Palpation

• Medial epicondyle– Ulnar nerve

• Lateral epicondyle

Muscle testing

• Flexion• Extension• Pronation• Supination

• Sensory exam(dermatom)

Median Ulnar

Radial

Special test

middle finger extension test middle finger flexion test

A, Resisted wrisi extension test. B, With compression of extensor origin.

Varus stress test(LCL) Valgus stress test(MCL)

The Hand

Ulnar claw hand

Froment sign

Special test

• Thumb compression test• Tinel`s sign• Phalen & reverse phalen test

• Carpal tunnel compression test.

• A, Phalen's test B, Reverse Phalen's tes

Tinel`s sign

• A and B, Stability testing of the ulnar collateral ligament of the thumb (arrow indicates the direction of the force applied to the proximal phalanx of the thumb). C, Thumb of patient with torn UCL.

Finkelstein's test.

33 pole Isfahan