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Checklist Upper Limb

This document provides a checklist for examining the upper limb, including instructions to introduce oneself to the patient, explain the procedure, obtain consent, perform surface anatomy palpation and range of motion tests for the shoulder, elbow, wrist and associated joints while checking for active, passive and muscular ranges of motion. Vital signs including radial, ulnar and brachial pulses are also examined.

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Naihal Zafar
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6 views1 page

Checklist Upper Limb

This document provides a checklist for examining the upper limb, including instructions to introduce oneself to the patient, explain the procedure, obtain consent, perform surface anatomy palpation and range of motion tests for the shoulder, elbow, wrist and associated joints while checking for active, passive and muscular ranges of motion. Vital signs including radial, ulnar and brachial pulses are also examined.

Uploaded by

Naihal Zafar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Musculoskeletal Module: Checklist for Upper Limb

Name of Student: Examination


Name of Assessor: Task performed
YES NO
Introduction & Consent
Greets and introduces self (Make patient comfortable)
Explain the procedure
Takes permission
Use hand sanitizer before touching the patient
Surface anatomy
Palpation of clavicle, scapula (spine of scapula), upper end of humerus (greater tuberosity), Acromioclavicular joint/coracoid
process
Palpation of medial and lateral condyle of humerus, and olecranon in elbow joint
Palpation of distal styloid process of radius and ulnar head, tendons of Palmaris Longus, Flexor Carpi Ulnaris, Flexor Carpi
Radialis and snuff box
Examination of shoulder joint

Abduction 180 degree (Supraspinatus, middle deltoid, serratus anterior (via upward rotation of the scapula)
Adduction 45 degree (Pectoralis major, coracobrachialis, latissimus dorsi, teres major, subscapularis)
(anterior deltoid, pectoralis major (clavicular head), coracobrachialis, bicepsbrachii
Flexion 180 degree
(shorthead)
Extension 45 degree (Latissimus dorsi, teres major, posterior deltoid, triceps brachii (long head)
Internal rotation 95 degree (Subscapularis, anterior deltoid, pectoralis major, teres major, latissimus dorsi
External rotation 45 degree (Infraspinatus, teres minor, posterior deltoid)
Examination of elbow joint
Flexion 135 degree (Biceps brachii, brachialis. brachioradialis)
Extension 0-5 degree (Triceps brachii, anconeus)
(Occurs at radioulnar joints)
Supination 90 degree (Biceps brachii, supinator) - (occurs at radioulnar joints)
Pronation 90 degree (Pronator teres, pronator quadratus) - (occurs at radioulnar joints)
Examination of Wrist

Flexion 80 degree (Flexor Carpi Radialis, Flexor Carpi Ulnaris)


Extension 70 degree (Extensor Carpi Radialis Longus and Brevis, Extensor Carpi Ulnaris)
Ulnar Deviation 30 degree (Flexor Carpi Ulnaris, Extensor Carpi Ulnaris)
Radial deviation 20 degree (Extensor Carpi Radialis Longus, Extensor Carpi Radialis Brevis,
Flexor Carpi Radialis, Abductor pollicis longus)
Supination 90 degree (Biceps brachii, supinator) - (occurs at radioulnar joints)
Pronation 90 degree (Pronator teres, pronator quadratus) - (occurs at radioulnar joints)
Start with active ROM of all joints (Ask patient), then check passive ROM (Move joints in each direction and ask patient to keep
limbs relaxed). Finally check the power of muscles involved in each ROM.

Palpate Radial pulse between tendon of FCR and radial styloid. Palpate the ulnar pulse over ulnar side of the volar wrist.

Palpate brachial pulse - Medial to tendon of biceps in the cubital fossa.


Cover and thank the patient

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