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Grand Rounds / Articles

The Examination of the Wrist

by Mark Ernst, MD, FRCSC, DipSportMed

The wrist is essentially a double row of small bones intertwined to form a malleable hinge between the hand and the forearm. Due to its complexity, wrist injuries and dysfunctions are difficult to treat, so that accurate diagnosis is crucial. A consistent pattern of examination is essential to obtain optimal results.

HISTORY

As always the history is a critical prelude to any assessment, the first essential being to establish the mechanism of injury:

If Traumatic

Consider:

If Atraumatic

Consider:

EXAMINATION

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PALPATION

1. Dorsal
2. Palmar

SPECIFIC TESTS