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Wrist examination

Phalen's and Tinel's test

Phalen's and Tinel's test

Phalen's and Tinel's test

LOOK

Dorsum, side, palmar- palmar flex wrist to exacerbate dorsal swellings

Deformity e.g. radial deviation after colles, prominent ulna

Swellings e.g. ganglion

Scars, muscle wasting

TOP

FEEL

Start radial side & move in a circle around wrist;

Palpate for tenderness of :

- APL, EPL- de Quervain's

- Anatomical snuffbox- scaphoid

- Distal Radioulnar joint

- lunate- locate by dorsiflexing wrist

- ulnar styloid

- Hook of hamate

- Pisiform- pisiform triquetral degen

- Guyons canal

- Over median nerve



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