When evaluating wounds of the upper extremity, which steps are appropriate to include in the assessment?

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

Answer: (B)

A thorough assessment of upper-extremity wounds combines function-focused evaluation, neurologic status, and patient goals. Inspecting the limb through the full range of motion helps reveal injuries that affect tendons, joints, or nerve function that might not be obvious at rest, and it shows how the injury will impact movement and grip. Motor and sensory testing directly assesses nerve integrity and limb function, informing priorities for management and potential surgical need. Asking about occupation and hand dominance provides important context about the patient’s functional demands and return-to-work goals, which guides prognosis and rehabilitation planning. When taken together, these steps offer a complete view of how the wound affects structure and function and how best to pursue treatment and follow-up.