When evaluating upper-extremity wounds, which of the following statements is true regarding patient history and physical examination?

• A. Inspect in full ROM
• B. Motor and sensory testing
• C. Ask about occupation and hand dominance
• D. All of the above

Answer: (D)

A thorough upper-extremity wound evaluation integrates function, nerve and vessel status, and the patient’s goals based on context. Inspecting with full range of motion lets you see how the limb moves and reveals tendon or joint involvement that static inspection might miss, such as tendon lacerations, joint instability, or motion-related pain. Motor and sensory testing provides crucial information about nerve integrity and function, helping localize injury (which nerves or tendon units are affected) and guiding management and prognosis. Asking about occupation and hand dominance adds essential context: it clarifies which activities and tasks are most important to the patient, informs the urgency and type of repair, and helps predict functional outcomes. When these elements are combined, you achieve a comprehensive assessment, so all of the above statements are true.