Adductor Pollicis

EW AN Abductor Pollicis Brevis
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Abductor Pollicis Longus

EW AN Abductor Pollicis Longus
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Anconeus

EW AN Anconeus
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Brachioradialis

EW AN Brachioradalis
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Dorsal & Palmar Interossei

EW AN Dorsal Interossei
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Extensor Carpi Radialis Longus & Brevis

EW AN Extensor Carpi Radialis Longus
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Extensor Carpi Ulnaris

EW AN Extensor Carpi Ulnaris
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Extensor Digitorum

EW AN Extensor Digitorum
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Extensor Digiti Minimi

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Extensor Indicis

EW AN Extensor Indicus
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Extensor Pollicis Brevis

EW AN Extensor Pollicis Brevis
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Extensor Pollicis Longus

EW AN Extensor Pollicis Longus
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Flexor Carpi Radialis

EW AN Flexor Carpi Radialis
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Flexor Carpi Ulnaris

EW AN Extensor Carpi Ulnaris
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Flexor Digitorum Profundus

EW AN Flexor Digitorum Profundus
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Flexor Digitorum Superficialis

EW AN Flexor Digitorum Superficialis
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Flexor Pollicis Longus

EW AN Flexor Pollicis Longus
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Hypothenar Muscles

EW AN Abductor Digiti Minimi
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Palmaris Longus

EW AN Palmaris Longus 001
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Pronator Quadratus

EW AN Pronator Quadratus 001
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Pronator Teres

EW AN Pronator Teres 001
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Supinator

EW AN Supinator 001
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Thenar Muscles

EW AN Opponens Pollicis
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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