Figure of Eight Measurement of the Hand

Original Editor - Anas Mohamed Top Contributors - Anas Mohamed and Kim Jackson

Purpose

Figure of eight measurement of hand is used to measure the edema or swelling over the hand.

Technique

This method measured with the measuring tape.

Step1. Hand rested on the edge of the table.

Step2. Take distal aspect of the ulnar styloid process as a starting point.

Step3. Then takes the tape measure over the anterior wrist to the distal aspect of the radial styloid process.

Step4. From there, the tape is brought diagonally (to the other side) across the back (dorsum) of the hand and over the fifth metacarpophalangeal joint line.

Step5. Then over the anterior surface of the metacarpophalangeal joints and then diagonally (to the other side) across the back of the hand to where the tape started.

Step6. Always compare the normal side or opposite hand.

Evidence

Figure of eight measurement method is a reliable and valid measurement tool for measuring hand edema in burned patients than water volumetry measurement.[1]

Figure of eight measurement method is a reliable and valid measurement tool for measuring hand edema in patients with hand pathology.[2]

References

  1. David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
  1. Dewey WS, Hedman TL, Chapman TT, Wolf SE, Holcomb JB. The reliability and concurrent validity of the figure-of-eight method of measuring hand edema in patients with burns. J Burn Care Res. 2007;28(1):157-162. doi:10.1097/BCR.0b013e31802c9eb9
  2. Leard JS, Breglio L, Fraga L, et al. Reliability and concurrent validity of the figure-of-eight method of measuring hand size in patients with hand pathology. J Orthop Sports Phys Ther. 2004;34(6):335-340. doi:10.2519/jospt.2004.34.6.335