bunnell test

Rheumatoid Fingers

1. PIPJ Synovitis

- synovectomy via dorsomedial approach

2. Flexor tenosynovitis

- may cause trigger finger

- trial HCLA

- remove synovits but don't release A1 pulley

- will worsen ulna drift

3. DIPJ

- rarely affects

Neck

- ROM

Shoulder

- behind head / to mouth

- to back pocket

Elbows

- flexion / extension elbows

- pronation / supination with thumb up & elbows by side

Wrist

- flexion / extension

Hand

- make fist with thumb in and out