Hand Goniometry

Maintain MCP joint in neutral position F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx End feel: hard or firm

Maintain MCP joint in neutral position F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx End feel: hard or firm

Sitting, forearm in pronation, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx End feel: firm

Sitting, forearm in midposition, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of PIP joint PA: dorsal midline of proximal phalanx DA: dorsal midline of middle phalanx End feel: firm

Sitting, forearm in midposition, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of DIP joint PA: dorsal midline of proximal phalanx DA: dorsal midline of middle phalanx End feel: firm

Sitting, forearm in midposition, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of PIP joint PA: dorsal midline of proximal phalanx DA: dorsal midline of middle phalanx End feel: firm

Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: palmar aspect of CMC joint PA: ventral midline of radius (radial styloid process) DA: ventral midline of 1st metacarpal End feel: soft or firm

Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: palmar aspect of CMC joint PA: ventral midline of radius (radial styloid process) DA: ventral midline of 1st metacarpal End feel: firm

Sitting, forearm in midposition, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation; CMC, MCP, and IP joints of thumb in 0 degrees of flex and ext, resting on supporting surface F: lateral aspect of radial styloid process PA: lateral midline of 2nd metacarpal (2nd MCP for reference) DA: lateral midline of 1st metacarpal (1st MCP joint for reference) End feel: firm

Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface Measure the shortest distance between center of the proximal digital crease of the thumb and the distal palmar crease directly over the 5th MCP joint

Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx Normal end feel: hard or firm

Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of MCP joint PA: dorsal midline of metacarpal DA: dorsal midline of proximal phalanx Normal end feel: firm

Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface F: dorsal aspect of IP joint PA: dorsal midline of proximal phalanx DA: dorsal midline of distal phalanx Normal end feel: firm

Sitting, forearm in supination, and hand with wrist in 0 degrees of flex/ext/radial & ulnar deviation, resting on supporting surface Flex IP joint by pushing the dorsal surface of the distal phalanx Normal end feel: firm