USA Biomechanics - Wrist & Hand

Movement at the distal radioulnar joint

supination & pronation

Movement at the radiocarpal joint

flexion & extension

Movement at the ulnocarpal joint

flexion & extension

Movement at the midcarpal joint

flexion & extension, radial & ulnar deviations

Extrinsic ligaments

-radial collateral
-palmar radiocarpal
-ulnar collateral
-palmar ulnocarpal
-dorsal radiocarpal

Extrinsic ligaments that limit extension

-palmar radiocarpal
-palmar ulnocarpal

ROM for most ADLs

10 degrees of flexion
35 degrees of extension

flexion ROM

0-85 (AROM)
0-90 (PROM)

extension ROM

0-75 (AROM)
0-80 (PROM)

radial deviation ROM

0-15 (AROM)
0-20 (PROM)

ulnar deviation ROM

0-35 (AROM)
0-37 (PROM)

pronation ROM

0-80 (AROM)
0-90 (PROM)

supination ROM

0-80 (AROM)
0-90 (PROM)

Strongest wrist extensors

ECRL, ECRB, ECU - due to attachments on carpals

Strongest wrist flexors

FCU, FCR - due to attachments on carpals