Elbow, Wrist and Hand Upper & Lower Quarter Neurological Screen

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Elbow, Wrist and Hand Upper & Lower Quarter Neurological Screen

Elbow
Palpations: Medial epicondyle Lateral epicondyle Ulna Olecranon process Radius Radial Head Biceps brachii Triceps brachii Brachioradialis Flexor-pronator wad Extensor wad

Range of Motion: Elbow flexion (145-155) Elbow extension (-5-0) Pronation (90) Supination (90)

Stress Tests: Valgus (Ulnar Collateral Ligament) Varus (Radial Collateral Ligament) Lateral epicondylitis test (Tennis Elbow Test) Tinels Sign (Ulnar Nerve)

Wrist and Hand


Palpations: Range of Motion: Stress Tests: Wrist Valgus (Ulnar Collateral Ligament) Wrist Varus (Radial Collateral Ligament) Wrist Glide Tests (Radial, Ulnar, Superior, Inferior) Valgus and Varus for Interphalangeal Joints and Collateral Ligaments of fingers Phalens Test (Carpal Tunnel Syndrome) Finkelsteins Test (DeQuervains Syndrome) Tinels Sign (Median Nerve) Wrist Flexion (80-90 degrees) Wrist Extension (75-85 degrees) Ulnar Deviation (35 degrees) Radial Deviation (20 degrees) Carpals Scaphoid Metacarpals Phalanges Ulnar Styloid Process Distal Radius and Styloid Process Listers Tubercle Thenar Compartment Hypothenar Compartment

Upper Quarter Neurological Screen


Dermatomes

C1 Forehead C2 Back of head C3 Lateral neck C4 Superior Shoulder, Trapezius C5 Lateral Arm C6 Lateral Forearm, thumb and index finger C7 Middle of Forearm and middle finger C8 Medial Forearm and 4th and 5th digits T1 - Medial elbow C1 Cervical Flexion C2 Cervical Extension C3 Lateral cervical flexion C4 Shoulder elevation C5 Shoulder Abduction C6 Elbow Flexion C7 Elbow Extension C8 Finger Flexion T1 Finger Ab/Aduction; Intrinsic muscles of fingers

Myotomes

Lower Quarter Neurological Screen


Dermatomes Myotomes L1 Hip flexion L2 Hip flexion L3 Knee extension L4 Ankle dorsiflexion L5 Hallux extension S1 Plantar flexion S2 none L1 Anterior hip L2 Anterior thigh L3 Anterior thigh & knee L4 Medial leg L5 Anterior/lateral leg S1 Lateral leg, foot & toes S2 Posterior/lateral leg

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