Search results
Results from the WOW.Com Content Network
Ulnar deviation is also a physiological movement of the wrist, where the hand including the fingers move towards the ulna. Ulnar deviation is a disorder in which flexion by ulnar nerve innervated muscles is intact while flexion on the median nerve side is not. [citation needed]
Starting in ulnar deviation and slight extension, the wrist is moved radially and slightly flexed with constant thumb pressure on the scaphoid. This radial deviation causes the scaphoid to flex. The examiners thumb pressure opposes this normal rotation, causing the scaphoid to shift in relation to the other bones of the carpus.
Radial deviation of the wrist is caused by lack of support to the carpus, radial deviation may be reinforced if forearm muscles are functioning poorly or have abnormal insertions. [3] Although radial longitudinal deficiency is often bilateral, the extent of involvement is most often asymmetric. [1]
Finkelstein's test was described by Harry Finkelstein (1865–1939), an American surgeon, in 1930. [5]A similar test was previously described by Eichhoff, in which the thumb is placed in the palm of the hand and held with the fingers, and the hand is then ulnar deviated (see images), causing intense pain over the radial styloid which disappears if the thumb is released.
From the straight position two pairs of movements of the hand are possible: abduction (movement towards the radius, so called radial deviation or abduction) of 15 degrees and adduction (movement towards the ulna, so called ulnar deviation or adduction) of 40 degrees when the arm is in strict supination and slightly greater in strict pronation.
Adduction of the wrist is also known as ulnar deviation which moves the hand towards the ulnar styloid (or, towards the little finger). Abduction of the wrist is also called radial deviation which moves the hand moving towards the radial styloid (or, towards the thumb). [15] [17]
The wrist is perhaps the most complicated joint in the body. It permits movements in two planes - extension/flexion, ulnar deviation/radial deviation - and allows complex patterns of motion under significant strain. Optimal wrist function requires stability of the carpal components in all joint positions under static and dynamic conditions.
Ulnar dysplasia also known as ulnar longitudinal deficiency, ulnar club hand or ulnar aplasia/hypoplasia is a rare congenital malformation which consists of an underdeveloped or missing ulnae bone, causing an ulnar deviation of the entire wrist. The muscles and nerves in the hand may be missing or unbalanced.