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Mark with a surface marking pen  the line of the second Metacarpo-phalangeal joint  on the dorsal surface of the Hand on a model in the Anatomical position with a time limit of one minute.

Objective No 26 - Criteria to be demonstrated.

1. Request the model to make a clenched fist with the right hand.

2. Mark the contour formed by the Head of the second metacarpal bone.

3. Request the model to relax the hand so that the fingers may be passively moved.

4. Grasping the  right index finger of the model with the palmar surface  of the  examiner's fingers of the Left hand in contact with the palmar surface of the right index finger of the model, apply  gentle pain free traction.

5. Gently flex the finger  joints of the  model's  index finger to a right angle with the palm.

6. Request the model to flex and extend the index finger while the examiner applies traction and resists the action of flexion and extension performed by the model.

7. The Thumb tip of the examiner may be placed on the joint immediately distal to the Head of the Second Metacarpal where  a gliding movement can be observed taking place.

8. Mark  on the dorsal surface  of the hand where the movement  is observed taking place.

9. The line represents the Dorsal surface marking of the Second Metacarpo-phalangeal Joint.

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