This should normally take place with the patients hands resting on a pillow as it can be painful for patients with elbow or shoulder problems to hold . The wrist thumb and hand 320 the distal radioulnar joint the two movements described below test the integrity of the distal radioulnar joint painful supination . Examination of the hand and wrist video look it is most comfortable for the patient to have their hands positioned on a pillow in this position look for . Hand and wrist examination frequently appears in osces often involving patients with osteoarthritis oa or rheumatoid arthritis ra youll be expected to pick
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