This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.How To Evaluate Before and After Pictures
is region dependent. Just what should comprise a standard set of hand pictures? This depends on the problem being documented, but should include both views showing the hand from multiple positions and function. Videos are a much more critical method to demonstrate hand problems and function revealing so much more than photos alone.
While the limited views shown in this Snowblower Hand Injury
show a little, they were not the complete set taken. But at the date I was doing hand, my photos were slides, before the digital revolution. So it will mean going back to the slide collections and converting sets I took then to demonstrate the views I was doing way back then vs. what I have learned over the years about the power of dynamic documentation and the power of video. Vascular video hand exams are powerful statements that are so difficult to show with still photos. Hand Standard PicturesWhole hand with fingers in relaxed extended position.
Ulnar ViewWhole hand with fingers fully extended position finders adducted
Dorsal ViewWhole hand with fingers fully extended position finders abducted
Dorsal ViewWhole hand with fingers flexed into fist.
Ulnar ViewWhole hand with thumb to each of fingers (one photo for each finger)
Palmer ViewClose up of lesion, wound details. Vascular sensation issues additional. Wrist Standard Pictures Would be additionalBasic Hand Video Ballet:
Palmer, then Dorsal, then Radial, and Ulnar views.
Start with hand with fingers extended relaxed in natural curve.
Hyper extend all fingers and leave extended to watch for vascular changes.
Flex fingers into fist.
Extend one finger at a time until all fingers extended. Then flex one finger at a time until all flexed.
Hand fully extended fingers together. Abduct and then adduct fingers and thumb.
Thumb to finger sequentially and then repeat.
Video also can then demonstrate specific hand function issues of concern, problem, or progress.
Hope this helps,
Michael Bermant, MD
Retired Plastic SurgeonLearn More About Reconstructive Plastic Surgery