Elbow Wrist & Hand

Adductor Pollicis

EW AN Abductor Pollicis Brevis

Abductor Pollicis Longus

EW AN Abductor Pollicis Longus


EW AN Anconeus


EW AN Brachioradalis

Dorsal & Palmar Interossei

EW AN Dorsal Interossei

Extensor Carpi Radialis Longus & Brevis

EW AN Extensor Carpi Radialis Longus

Extensor Carpi Ulnaris

EW AN Extensor Carpi Ulnaris

Extensor Digitorum

EW AN Extensor Digitorum

Extensor Digiti Minimi

Extensor Indicis

EW AN Extensor Indicus

Extensor Pollicis Brevis

EW AN Extensor Pollicis Brevis

Extensor Pollicis Longus

EW AN Extensor Pollicis Longus

Flexor Carpi Radialis

EW AN Flexor Carpi Radialis

Flexor Carpi Ulnaris

EW AN Extensor Carpi Ulnaris

Flexor Digitorum Profundus

EW AN Flexor Digitorum Profundus

Flexor Digitorum Superficialis

EW AN Flexor Digitorum Superficialis

Flexor Pollicis Longus

EW AN Flexor Pollicis Longus

Hypothenar Muscles

EW AN Abductor Digiti Minimi

Palmaris Longus

EW AN Palmaris Longus 001

Pronator Quadratus

EW AN Pronator Quadratus 001

Pronator Teres

EW AN Pronator Teres 001


EW AN Supinator 001

Thenar Muscles

EW AN Opponens Pollicis

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