Semiologia da Mão - Luciana

escafóide. A seguir, o
punho é lentamente desviado radialmen-
te, enquanto a pressão no polo distal é
mantida, tentando impedir a sua flexão
palmar. Quando o escafóide está instável
o polo proximal subluxa dorsalmente e a
manobra torna-se dolorosa.
8 – Teste de Phalen – flexão dos
punhos causa uma diminuição do túnel do
carpo e compressão do nervo mediano.
9 – Teste de Tinel – a percussão na
região volar do punho na topografia de
nervo mediano com neuropatia compres-
siva (síndrome do túnel do carpo) causa
uma hiperestsia (choque) no território
inervado por este nervo.
10 – Teste de Filkenstein: utilizado
para as tenosinovites estenosantes do 1º
compartimento dorsal (abdutor longo e
extensor curto do polegar). Realiza-se um
desvio ulnar do punho passivo e forçado
e, se o teste for positivo, o paciente refere
uma dor intensa ao nível do 1º comparti-
mento dorsal.
Arnerican Orthopaedic Association. Manual of
Orthopaedic surgery. Chicago: The American Qrthopaeclic
Association, 1979. 
Arnerican Society for Surgery of the Hand. The hand:
Examination and diagnosis. New York: Churchill Livingstone,
1983.
Aubriot JH. The metacarpophalangeal joint of the
thumb. In: Tubiana R, ed. The hand, Vol. 1. Philadelphia: WB
Saunders, 1981:184.
Azze R. J; Mattar Jr., R.: Propedeutica de la mano.
In. Las Manos – Luz D. R. Castañeda. Livraria Santos,
1977, p. 49 a 66.
Backhouse KM, Catton VÇT. An experimental study of
the functions of the lumbrical muscles in the hunan hand. J
Anat 1954;88:133.
Barton NJ. Fractures and joint injuries of the hand. ln:
Wilson JN, ed. Fractures and joint injuries. 6th ed. New York:
Churchill Livingstone, 1982:739.
Bellinghausen HW, Gilula LA, Yóung LV, Weeks PM.
Posttraumatic palmar carpal subluxation. J. Bone Joint Surg
1983; 65A:998-1006.
Berger RA, Kauer JMG, Landsmeer JMF.
Radioscapholunate ligament: A gross anatornic and histolo-
gic study of fetal and adult wrists. J Hand Surg.,
1992;16:350-355.
Bojsen-Moller FB. Osteoligamentous; guidance of the
movements of the human thumb. Am J.Anat 1976;147:71.
Bonin von G. A note on the kinematics of the wrist joint.
J. Anat 1929;63:259-262.
Bowers MU. The anatomy of the interphalangeal
joints. In: Bowers VM, ed. The interphalangeal joints.
Edinburgh: ChurchiII Livingstone, 1987:2.
Bowers VM, Wolf JW, Nchil JL, Bittinger S. The proxi-
mal interphalangeal joint and palmar plate. 1: An anatomic
and bicomechanical study. J Hand Surg 1980;5:79.
Brand PW, Thompson DE, Micks JE. The biomecha-
nics of the interphalangeal joints. ln: Bowers WH, ed. The
interphalangealjoints. Edinburgh: Churchill Livingstone,
1987:21.
Brand PW. Clinical mechanics of the hand. St. Louis:
CV Mosby, 1985:1.
Cozzi EP. The proximal interphalangeal joints-A study
of the para-articular fibrous structures. ln: Tubiana R, ed.
The hand, Vol. 2. Philadelphia: WB Saunders 1985:869.
Cyriax EF. On the rotary movements of the wrist. J.
Anat 1926;60:199-201.
Doyle JR, Blythe WF. Anatonry of the flexor tendon
sheath and pulleys of the thumb. J Hand Surg., 1977;2:149.
Dubousset JE Finger rotation during prchension. ln:
Tubiana R, ed. The hand, Vol. 1. Philadelphia: WB
Saunders, 1981:202.
Dubousset P. The digital joints. In: Tubiana R, ed. The
hand, Vol. 1. Philadelphia: Saunders, 1981:191.
Eaton RG, Dray GJ. Dislocations and ligament injuries
in the digits. In: Green DP, ed. Operative hand surgery, Vol.
1. New York: Churchill Livingstone, 1982:637.
Eaton RG. Joint injuries of the hand. Springfield:
Charles C. Thomas, 1971:1.
El-Bacha A. The carpornetacarpal joints (excluding the
trapeziometacarpal). In: Tubiana R, ed. The hand, Vol. 1.
Philadelphia: WB Saunders, 1981:158.
Eyler DL, Markee JE. The anatomy and function of the
intrinsic musculature of the hand. J Bone Joint Surg
1954;36A: 1.
Fahrer M. Interdependent and independent actions of
the fingers. In: Tubiana R, ed. The hand, Vol. 1. Philadelphia:
WB Saunders, 1981:399.
Fahrer M. The hypothenar eminence. In: Tubiana R,
ed. The hand, Vol. 1. Philadelphia: “ Saunders, 1981:259.
Fahrer M. The thenar eminence: An introduction. In:
Tubiana R, ed. The hand, Vol. 1. Philadelphia: WB
Saunders, 1981:255.
Finkelstein H. Stenosing tendovaginitis at the radial
styloid process. J Bone Joint Surg 1930; 12:509 - 540.
Fisk GR. An overview of injuries of the wrist. Clin
Orthop 1980;149:137-144.
Flatt AE. Biomechanics of the hand and wrist. In:
Evarts CMcC, ed. Surgery of the musculoskeletal system.
2nd ed. New York: Churchill Livingstone, 1990:311.
Frank WE, Dobyns J. Surgical pathology of the colla-
teral ligamentous injuries of the thumb. Clin (Mhop
1972;83:102.
Gad P. The anatomy of the palmar parts of the capsu-
les of the finger joints. J Bone Joint Surg 1967;4911:362.
Gilbert A, Busy F. The contribution of arthrography to
the diagnosis of lesions of the digital ligamerus. ln: Tubiana
R, ed. The hand, Vol. 2. Philadelphia: WB Saunders,
1985:904.
26
REF
ERÊN
CIAS 
BIBLI
OGRÁ
FICAS
Gilbert A, Fachinelli A, Kahlil G, Poitevin L. Lesions of
the palmar plates. In: Tubiana R, ed. The hand, Vol. 2.
Philadelphia: WB Saunders, 1985:909.
Gilford WW, Bolton RH, Lambrinudi C. The mecha-
nism of the wrist joint with special reference to fractures of
the scaphoid. Guys Hosp Rep 1943;92:52-59.
Gilula LA- Carpal injuries: Analytic approach and case
exercises. AmJRoentgenol 1979;133:503-517.
Gilula LA, Weeks PM. Posttraumatíc ligamentous ins-
tability of the wrist. Radiology 1978;129:641-651.
Green DP, Rowland SA. Fractures and dislocations in
the hand. In: Rockwood CA, Green DP, eds. Fractures in
adults. 3rd ed. Philadelphia: JB Lippincott, 1991:313.
Haines RW. The extensor apparatus of the finger. J
Anat 1951;85:251.
Haines RW. The mechanism of rotation at the first, car-
pornetacarpal joint. J Anat 1944;78:44.
Hoppenfeld. S. Physical examination of the spine and
extremities. New York: Apple Crofts, 1976.
Kapandji AI. Biomechanics of the interphalangeal joint
of the thumb. In: Tubiana R, ed. The hand, Vol. 1,
Philadelphia: WB Saunders, 1981;188.
Kapandji AI. Selective radiology of the first carporneta-
carpal (or trapeziornetacarpal) joint. In: Tubiana R, ed. The
hand, Vol. 2. Philadelphia: WB Saunders, 1985:635.
Kaplan EB. Anatomical variations of the forearm and
hand. In Tubiana R, ed. The hand, Vol. 1. Philadelphia: WB
Saunders, 1981:361.
Kaplan EB. Anatomy and kinesiology of the hand. In:
Flynn JE, ed. Hand surgery. 3rd ed. Baltimore: Williams and
Wilkins, 1982:33.
Kaplan EB. Functional and surgical anatomy of the
hand. 2nd ed. Philadelphia: JB Lippincott, 1965:1.
Kauer JMG, Lange A de, Savelberg HHCM, Kooloos
JGM. The wrist joint: Functional analysis and experimental
approach. ln: Nakarnura R, Linscheid RL, Miura T, eds. Whst
disorders. Tokyo: Springer, 1992:3-12.
Kauer JMG, Lange A de. The carpal joint: Anatomy and
function. Hand Clin., 1987;3(1):23-29.
Kauer JMG. Functional anatomy of the wrist. Clin
Orthop 1980;149:9-20.
Kauer JMG. The articular disc of the hand. Acta Anat
1975;93:590-605.
Kauer JMG. The distal radioulnar joint: Anatomic and
functional considerations. Clin Orthop 1992;275:37-45.
Kauer JMG. The interdependence of carpal articulation
chains. Acta Anat, 1974;88:481-501.
Kuczynski & Carpornetacarpal joint of the human
thumb. J. Anat 1974;118:119.
Kuczynski & The proximal interphalangeal joint:
Anatomy and causes of stiffness in the fingers. J Bone Joint
Surg 1968;5OB:656.
Kuczynski, K Less-known aspeas of the proximal inter-
phalangeal joints of the human hand. Hand 1975;7:31.
Landsmeer JMF. Anatornical and functional investiga-
tions of the human finger and its functional significance. Acta
Anat (suffi. 24) 1955;25:1.
Landsmeer JMF. Atlas of anatomy of the hand.
Edinburgh:Churchill Livingstone, 1976:1. 
Landsmeer JMF. The anatomy