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Hand Injury
- See Also
- Exam
- See Hand Exam
- See Wrist Injury and Wrist Exam
- Focus Areas
- Hand Position of Function
- Inability to perform is a red flag
- Observe for isolated finger extension
- Observe for isolated finger flexion
- Flex fingers against palm
- Finger tips should align to Scaphoid
- Skin changes
- Capillary refill should be <2 seconds
- Anhidrosis, blanching, hyperemia of involved finger
- Tendon evaluation
- Extend DIP joint of affected finger only
- Flex PIP joint of affected finger only
- Flex DIP joint of affected finger only
- Neurologic Exam
- Sensory: Two Point Discrimination: <6 mm is normal
- Median Nerve distribution
- Radial Nerve distribution
- Median Nerve distribution
- Motor Exam (against resistance)
- Finger abduction (Ulnar Nerve)
- Oppose thumb to index finger (Median Nerve)
- Wrist extension (Radial Nerve)
- Sensory: Two Point Discrimination: <6 mm is normal
- Hand Position of Function
Hand Injuries (C0018571) | |
|---|---|
| Definition (MSH) | General or unspecified injuries to the hand. |
| Concepts | Injury or Poisoning (T037) |
| MSH | D006230 |
| English | HAND INJ, Hand Injuries, HAND INJURY, INJ HAND, Injury of hand, Unspecified injury of hand |
| Spanish | injuria de la mano, lesion traumatica de la mano |
| Parent Concepts | Wounds and Injuries (C0043251), Limb Injury (C0743668), Arm Injuries (C0003794), Hand Injuries (C0018571), Disorder of hand (C1290871), Duplicate concept (C1274013) |
| Sources | COSTAR, MSH, NCI, NDFRT, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
