Hand and wrist examination is a crucial step in assessment and management of patients with a painful shoulder.

It follows a specific routine:

  • Inspection
  • Palpation
  • Range of motion
  • Neurovascular examination
  • Special tests for assessment of:
    • Wrist instability
    • Carpal tunnel syndrome
    • Guyon’s canal syndrome
    • De Quervain’s Tenosynovitis
    • Dupuytren’s syndrome