Adductor Pollicis


Abductor Pollicis Longus


Anconeus


Brachioradialis


Dorsal & Palmar Interossei


Extensor Carpi Radialis Longus & Brevis


Extensor Carpi Ulnaris


Extensor Digitorum


Extensor Digiti Minimi

Extensor Indicis


Extensor Pollicis Brevis


Extensor Pollicis Longus


Flexor Carpi Radialis


Flexor Carpi Ulnaris


Flexor Digitorum Profundus


Flexor Digitorum Superficialis


Flexor Pollicis Longus


Hypothenar Muscles


Palmaris Longus


Pronator Quadratus


Pronator Teres


Supinator


Thenar Muscles


Follow HIP MNRS with every patient encounter – History, Inspection, Palpation – Motion, Neurovascular, Referred, Special Tests
Make sure you have a detailed anatomy understanding and can create a list of potential pain generators (muscle, bone, joint, ligament, cartilage, blood vessels, nerves, viscera & lymphatics) – any competent practitioner should be able to give a detailed list of the anatomy below their hand and the tissues they are stretching, compressing or activating
Clinicians performing regional exams must realize that no one sign is of absolute significance in isolation, each individual finding should be evaluated only in the context of other findings & the patient as a whole; this is particularly important with diagnostic procedures that may result in “soft” signs, which are difficult to reproduce & may have a large subjective bias in their interpretation.
When recording test results it is not enough to write “test-X positive.” Record any findings associated with the test (reproduction of symptoms, pain, muscle guarding, numbness & tingling, decreased flexibility, clicking, etc) – more information results in a more accurate assessment & better treatment. Remember assessment is therapeutic!
To learn more see our text books or take our hands on training seminars