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A. Orthopaedic Orthopaedic issues involve the framework of bones, muscles and ligaments. Typical assessments include: central nervous system review cranial nerve assessment cervical spine, noting tenderness or spasm flexion, both full and lateral rotation, checking for motor or sensory limb deficits deep tendon reflexes, e.g. biceps, triceps and supinators comparative limb measurements and circumferences general observation Vibration white finger (VWF) VWF presents with two distinct elements: vascular (blanching) and neurological (numbness, tingling, reduced tactile discrimination and loss of dexterity). Standard investigations include: vibrotactile threshold testing—to evaluate mechanoreceptors sensing stretch, edges and texture at different frequencies thermal aesthesiometry—to determine thermal receptor thresholds Purdue Pegboard—a dexterity measure identifying loss of fine hand movement grip force measurement—assesses grip in both hands, indicating vibration damage to hand and forearm muscles vascular testing—finger systolic blood pressure to gauge interruption of blood flow with cold exposure cold provocation—visual confirmation of blanching ...