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Hand Neurovascular Exam
Aka: Hand Neurovascular Exam, Hand Neurologic Exam, Hand Vascular Exam
- See Also
- Hand Exam
- Hand Anatomy
- Wrist Exam
- Wrist Anatomy
- Wrist Injury (Includes summarized exam)
- Hand Injury (Includes summarized exam)
- Exam: Vascular
- Capillary Refill (normal <2 seconds)
- Radial pulse
- Ulnar pulse
- Allen Test
- Indicated if concerns regarding radial artery or ulnar artery deficit)
- Exam: Neurologic
- Ulnar Nerve
- Finger abduction against resistance (hand intrinsic Muscles)
- Sensation to ulnar 1.5 fingers on palmar aspect (e.g. tip of pinky finger or hypothenar eminence)
- Median Nerve
- Sensation to radial 3.5 fingers and dorsal tips (e.g. tip of index finger or thenar eminence)
- Oppose thumb to index finger against resistance

- Median Nerve is "british" (the tea drinking nerve)
- Controls pincher grasp (with thumb and index), elbow flexors and pronators, wrist flexors
- Mallon (2018) CCME Emergency Board Exam
- Radial Nerve
- Wrist extension (dorsiflexion) against resistance (as well as extension at the elbow and fingers)
- Sensation to dorsal first 3.5 fingers (e.g. dorsal first web space)

- Other Specific Nerves
- Digital nerve injury
- Two Point Discrimination requires >5 mm apart
- Skin Color change
- Anhidrosis of finger involved
- Blanched or hyperemic Skin Color
- Anterior Interosseous Nerve (Volar Interosseous Nerve)
- Median Nerve branch supplies deep flexor Muscles of the anterior Forearm
- Does not innervate ulnar aspect of flexor digitorum profundus
- Posterior Interosseous Nerve (Dorsal Interosseous Nerve)
- Radial Nerve branch supplies deep extensor Muscles of the posterior Forearm