Forearm and wrist supination/pronation is
closely related to function.
Degenerative and traumatic processes not to mention
surgical treatments can lead to a reduction in range
Traditionally we make estimates based on clinical
judgement and experience but quantifying this ROM
The current ‘Gold Standard’ Involves taking photographs
with the ‘patient’ holding a cane in the hand with a ‘plumb line’
and then measuring the angle between the two. Not
teribly practical in the busy fracture or orthopaedic clinic!