Goniometry of the Wrist

Cervical Spine Fingers (MCP, PIP, & DIP Joints) Knee
Glenohumeral Joint Thumb (CMC, MCP, & IP Joints) Talocrural
Elbow & Radioulnar Joints Lumbar & Thoracic Spine Transverse Tarsal & Subtalar Joints
Wrist Hip Toes (MCP, PIP, & DIP Joints)
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Motion

Recommended Testing Position

Stabilization

Center

Proximal Arm

Distal Arm

Start

End

Flexion

Sitting next to supporting surface. G-H abd 900, Elbow flexed 900, Forearm in 00 supination-pronation, resting on supporting surface, hand free to move. Avoid wrist radial-ulnar flexion & finger flexion Stabilize radius & ulna to prevent supination or pronation Lateral aspect of wrist over triquetrum Lateral midline of ulna. Reference olecranon & ulnar styloid process Lateral midline of 5th metacarpal

Extension

Sitting next to supporting surface. G-H abd 900, Elbow flexed 900, Forearm in 00 supination-pronation, resting on supporting surface, hand free to move. Avoid wrist radial-ulnar flexion & finger flexion Stabilize radius & ulna to prevent supination or pronation Lateral aspect of wrist over triquetrum Lateral midline of ulna. Reference olecranon & ulnar styloid process Lateral midline of 5th metacarpal

Radial flexion

Sitting next to supporting surface. G-H abd 900, Elbow flexed 900, Forearm in 00 supination-pronation, resting on supporting surface, hand free to move. Avoid wrist radial-ulnar flexion & finger flexion Stabilize distal ends of radius & ulna to prevent proation & supination of forearm & elbow flexion beyond 900 Middle of dorsal aspect of wrist over capitate Dorsal midline of forearm. Reference lateral epicondyle of humerus Dorsal midline of 3rd metacarpal. Reference 3rd phalanx  

Ulnar flexion

Sitting next to supporting surface. G-H abd 900, Elbow flexed 900, Forearm in 00 supination-pronation, resting on supporting surface, hand free to move. Avoid wrist radial-ulnar flexion & finger flexion Stabilize distal ends of radius & ulna to prevent proation & supination of forearm & elbow flexion beyond 900 Middle of dorsal aspect of wrist over capitate Dorsal midline of forearm. Reference lateral epicondyle of humerus Dorsal midline of 3rd metacarpal. Reference 3rd phalanx  

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