Movement
The following features should be assessed during movement of the hand:
- ask the patient to make a fist, spread his fingers out and then test each individual joint
- the normal ranges for finger flexion are:
- metacarpo-phalangeal joints >90 degrees
- PIP joints >100 degrees
- DIP joints >80 degrees
- normal movement for the thumb inter-phalangeal joint is:
- flexion: >80 degrees
- extension: >20 degrees
- normal movement for the thumb metacarpo-phalangeal joint is:
- flexion: >55 degrees
- extension: >5 degrees
- normal movement for abduction at therpo-phalangeal joints is 20 degrees
- also test opposition, pinch grip, key grip, palmar grasp of ball and sphygmomanometer grip strength
Create an account to add page annotations
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.