Standing, sitting or lying supine
Anterior or lateral to the patient.
May I touch your forearm and hand? ( or point to the demonstrated area ).
With your palm down, please bring your hand up and out (or demonstrate).
(If needed, hold in this position while I try to move your hand.)
Guide the patient to pronate. With the patient relaxed, place the fingers on the medial and
slightly posterior aspect of the forearm. Guide the patient to extend and ulnarly deviate the
wrist. Palpate the muscle during this combined and diagonal motion. With unclear muscle activity,
provide gradually increasing resistance by having the patient ìholdî while you produce a push
on the hand in the diagonal direction of wrist flexion and radial deviation.
With the patient relaxed, place the fingers on the tendon located at the distal posteromedial forearm, just distal to the ulna. Guide the patient to relax the fingers, especially the little finger, as the extensor digiti minimi or quinti tendons are just lateral to the tendon of the extensor carpi ulnaris. Follow the same procedure and palpate the tendon.
With the patient relaxed, place the fingers on the tendon located at the distal posteromedial forearm, just distal to the ulna. Guide the patient to relax the fingers, especially the little finger, as the extensor digiti minimi or quinti tendons are just lateral to the tendon of the extensor carpi ulnaris. Follow the same procedure and palpate the tendon.
VH - Extensor carpi ulnaris muscle and tendon