Hand​ Examination Clinical Skills OSCE Medical School Revision Dr Gill

Clinical examination of the hand can be quite challenging, as it is more engaged than many of the other orthopaedics examinations. We'll help with your medical school revision through a demonstration of a hands examination OSCE.

As with any orthopaedic assessment, the Hand​ Examination Clinical Skills OSCE examination will be expecting you to approach with the standard Look, Feel, Move approach which you'll be already familiar with

People often find the Clinical Skills OSCE to be daunting and the Hand examination even more so, as it is quite an engaged OSCE station. However, as with everything at medical school, repetition is going to be key in understanding how you are assessing the patient, positioning your hands, and manipulating the patient.

Please note the hand examination also includes the special tests Tinel's Test and Phalen's Test to examine for carpal tunnel syndrome, which can be worsened in pregnancy, osteoarthritis and rheumatoid arthritis

During the Hand examination, the wrist is also assessed, as you should always examine the joint above and the below the joint are focusing your initial assessment on

Performed by Dr James Gill


Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination a recognized standard textbook for clinical skills.


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00:00 Introduction and Patient Verification
00:20 Hand Examination
00:37 Joint and Hand Pain Test
02:10 Hand Movement and Flexibility Test
03:16 Finger Movement and Resistance Tests
04:03 Nerve Function Tests
04:50 Conclusion