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Published on: January 11, 2019
Physical examination of the wrist
Darryl Young1, Steven Papp, Alan Giachino
1Department of Orthopaedics, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada K1H 8L6.
A thorough physical examination, including observation, range of motion, palpation, and special tests, is crucial for accurate wrist diagnosis. Correlating these findings with diagnostic imaging ensures correct diagnosis.
Area of Science:
- Orthopedics
- Anatomy
- Diagnostic Medicine
Background:
- Wrist examination is essential for diagnosing wrist conditions.
- Understanding wrist anatomy and pathology is key to diagnosis.
Purpose of the Study:
- To outline a systematic approach to physical examination of the wrist.
- To emphasize the importance of correlating physical findings with diagnostic imaging.
Main Methods:
- Systematic physical examination including observation, range of motion, palpation, and special tests.
- Provoking symptoms through palpation and eliciting signs through manipulation.
- Considering negative findings in the differential diagnosis.
Main Results:
- A systematic approach aids in narrowing the differential diagnosis of wrist conditions.
- Agreement between physical examination methods and diagnostic imaging increases diagnostic accuracy.
Conclusions:
- A comprehensive physical examination is fundamental for diagnosing wrist pathology.
- Integrating palpation, manipulation, and special tests is vital.
- Diagnostic imaging complements physical findings for definitive diagnosis.
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