kapandji score kapandji score the kapandji score is a tool useful for assessing the opposition of the thumb, based on where on their hand the patient is able to touch with the tip of their thumb. scoring score location achieved 1 radial side of the proximal phalanx of the index finger 2 radial side of the middle phalanx of the index finger 3 tip of the index finger 4 tip of the middle finger 5 tip of the ring finger 6 tip of the little finger 7 distal interphalangeal joint crease of the little finger 8 proximal interphalangeal joint crease of the little finger 9 metacarpophalangeal joint crease of the little finger 10 distal palmar crease