Clinical Examination in Orthopedics by Mohan Iyer (auth.)

By Mohan Iyer (auth.)

This booklet has been written step clever by way of enumerating numerous points of the significance of scientific exam derived through laying one’s arms at the affected half. via a radical scientific exam, it may possibly aid somebody to reach at a tentative differential analysis of the situation and as a result assist in investigating a similar by means of a number of assessments that are suitable to the given situation. the way during which a given case is dealt with during this means is way extra vital than the analysis of the situation and this option comes with training a similar repeatedly. it's a needs to for someone embarking in lifestyles on Orthopedics as a career.

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Ulnar styloid process: This process does not extend as far distally as the radial styloid process. The ulnar styloid process takes no part in the wrist’s articulation as Palpation 29 Fig. 1 Radiograph of fracture of the scaphoid (Courtesy Dilip Malhotra, Bahrain) Fig. 2 Fracture scaphoid seen on an magnetic resonance imaging (MRI) scan 1 month after injury, which was not seen on plain X-rays taken initially (Courtesy Dushyant H. Thakkar, London, UK) the radial side does when it articulates with the proximal row of the carpal bones.

Brachial neuralgia: This is a term which is usually applied to pain extending over a large part of the upper limb. It can be conveniently classified on an anatomical basis into three parts: (a) Disorders around the shoulder: In all of these conditions, the shoulder joint movements are limited and painful. (b) Disorders proximal to the shoulder: In all of these cases, the shoulder joint movements are essentially normal along with a normal radiographic appearance. (c) Disorders distal to the shoulder: In all of these cases, the shoulder joint and the neck movements are normal along with a normal radiographic appearance.

Wrist ulnar and radial deviation: This is tested by asking the patient to move his wrist sideways to ulnar and radial deviation. The radius is longer than the ulna, and hence ulnar deviation is more than radial deviation. Ulnar deviation is normally about 30°, while radial deviation is about 20°. 3. Supination and pronation: These tests are done as described in Chap. 3 on the elbow. 4. Finger flexion and extension: Ask the patient to make a fist and then extend her fingers. In normal flexion, the fingers will flex with their tips touching the distal palmar crease.

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