CLINICAL OPPOSITION AND REPOSITION TEST OF THE THUMB
CLINICAL OPPOSITION AND REPOSITION TEST OF THE THUMB
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DOI：
10.1016/s0753-9053(86)80053-9
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发表时间：
1986-01-01
期刊：
影响因子：
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通讯作者：
KAPANDJI A
中科院分区：
文献类型：
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作者：
KAPANDJI A
为了测试拇指的对掌和反掌（复位），这里提出的方法不需要测量角度;相反，手本身被用作参考系统。对掌测试包括在拇指尖内触摸四个长手指：食指第二节指骨外侧得分为1，第三节指骨外侧得分为2，食指尖得分为3，中指尖得分为4。然后，沿沿着小指的掌侧向近侧移动拇指，当拇指接触DIP折痕时得分为7，PIP折痕上得分为8，小指的近侧折痕上得分为9，并且当拇指到达手的远侧掌侧折痕时得分为10。只有在第一阶段是可能的情况下，这个测试才是不同的：手掌中的爬行拇指不是一个反对运动。反向对抗测试（或复位测试）需要另一只手作为参考系统。待测的手手掌朝下放在桌子上，另一只手作为参考系统。待测试的手放在桌子上，手掌向下;另一只手放在桌子的内侧，靠近第一只手拇指的尖端;现在这个拇指被积极地拉到尽可能高的位置。上面的点通过参考第二只手的MP关节来标记：1表示小指的MP关节，2表示无名指的MP关节，3表示中指的MP关节，4表示食指的MP关节。
In order to test the opposition and the counter-opposition (reposition) of the thumb, the method proposed here does not require the measuring of angles; rather, the hand itself is used as the system of reference. The opposition test consists of touching the four long fingers within the tip of the thumb: the score is 1 for the lateral side of the second phalanx of the index finger, 2 for the lateral side of the third phalanx, 3 for the tip of the index finger, 4 for the tip of the middle finger. Then, moving the thumb proximally along the volar aspect of the little finger, the score is 7 when it touches the DIP crease, 8 on the PIP crease, 9 on the proximal crease of the little finger and 10 when it reaches the distal volar crease of the hand. This test is varied only if the first stages are possible: a crawling thumb in the palm is not an opposition motion. The counter-opposition test (or reposition test) needs the other hand as a reference system. The hand to be tested is set upon the table palm-down while; the other hand as a reference system. The hand to be tested is set upon the table palm-down while; the other hand is laid on the table on its medial side, close to the tip of the first hand thumb; now this thumb is actively drawn up as high as possible. The upper point is noted by reference of the MP joints of the second hand: 1 for the MP joint of the little finger, 2 for the MP joint of the ring finger, 3 for that of the middle finger and 4 for that of the index finger.