Terminology of Movement
Authors: Doyle, James R.
Title: Hand and Wrist, 1st Edition
Copyright ©2006 Lippincott Williams & Wilkins
> Table of Contents > Section I – Basic Anatomy > 1 – Anatomy > 1.3 – Terminology of Movement
1.3
Terminology of Movement
It is important to learn the language of movement as it relates to forearm, wrist, fingers, and thumb functions. Figure 1.3-1
depicts the accepted terminology used to describe the various movements
seen and tested in the hand, wrist, and forearm. Consistent use of
these terms will allow all health care providers to easily communicate
their findings to each other. Health workers might also develop a
reasonable diagnosis and treatment plan if they note the absence of a
specific movement. Table 1.3-1 provides the
anatomic basis for movement in the upper extremity; learning it will
aid in making a diagnosis and help to establish the site and level of
an injury.
depicts the accepted terminology used to describe the various movements
seen and tested in the hand, wrist, and forearm. Consistent use of
these terms will allow all health care providers to easily communicate
their findings to each other. Health workers might also develop a
reasonable diagnosis and treatment plan if they note the absence of a
specific movement. Table 1.3-1 provides the
anatomic basis for movement in the upper extremity; learning it will
aid in making a diagnosis and help to establish the site and level of
an injury.
Table 1.3-2 Grading of Muscle Strength
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Table 1.3-2 covers the grading
of muscle strength, which helps to document the degree of disability as
a baseline. It is a useful tool in monitoring the presence or absence
of recovery.
of muscle strength, which helps to document the degree of disability as
a baseline. It is a useful tool in monitoring the presence or absence
of recovery.
Pearls
-
Knowledge of anatomy is the key to diagnosis, treatment, and surgery in the hand and wrist.
-
Continually review the anatomy of the
hand, wrist, and forearm; use the landmarks on your own hand and wrist
to visualize the deeper structures. -
Remember that anatomy is three dimensional.
-
Dissect in the anatomy laboratory with your resident colleagues.
-
Learn by repetition.
Suggested Reading
Bugbee WD, Botte MJ. Surface anatomy of the hand. Clin Orthop 1993;296:122–126.
Doyle JR, Botte MJ. Surgical anatomy of the hand and upper extremity. Philadelphia: Lippincott Williams & Wilkins, 2002.
Kaplan EB. Functional and surgical anatomy of the hand. 2nd Ed. Philadelphia: JB Lippincott, 1965:265–270.