Physical examination of the wrist.
A complete examination of the wrist requires both an accurate history and a thorough understanding of carpal anatomy, biomechanics, and pathology. A thorough examination may necessitate evaluation of the radial and ulnar aspects of the carpus as well as potential extra-articular causes of wrist pain. A carefully obtained history is essential to focus the examination. Our standard approach to the examination of radial wrist pain consists of five maneuvers: (1) ANA, (2) scaphotrapezial trapezoid (STT), (3) DWS, (4) SS, and (5) FET. Additional diagnostic tests, as described, are indicated by ulnar wrist or extra-articular symptomatology. Substitution maneuvers serve to distinguish between actual and fictitious findings on examination.
Watson
H K
HK
Connecticut Combined Hand Service, Hartford Hospital, Connecticut, USA.
Weinzweig
J
J
D006801:Humans; D007592:Joint Diseases / Q000150:complications / Q000175:diagnosis; D008487:Medical History Taking; D010146:Pain / Q000209:etiology*; D010808:Physical Examination; D014954:Wrist Injuries / Q000150:complications / Q000175:diagnosis*; D014955:Wrist Joint