Observe the position of the hands in motion to see if movements are smooth and natural. At rest the fingers should be slightly flexed and aligned almost in parallel.

Inspect the palmar and dorsal surfaces of the wrist and hand carefully for swelling over the joints.

Note any deformities of the wrist, hand, or finger bones, as well as any angu-lation from radial or ulnar deviation.

Observe the contours of the palm, namely the thenar and hypothenar eminences.

Note any thickening of the flexor tendons or flexion contractures in the fingers.

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