Carpal wrist msk pocus elbow extensor xray - GrepMed

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$Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck$

commonly fractured carpal ... ulna, pain with wrist ... flexion and extension ... Triquetrum #Fracture #Wrist ... Orthopedics #Sports #MSK

Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which

extension • ... associated injuries: Carpal ... #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK

Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"

box, pain with wrist ... extension • Possible ... #TerryThomas #Wrist ... #Radiology #XRay ... Orthopedics #Sports #MSK

Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive

Instability (MCI) of the Wrist ... The proximal carpal ... extensors (ECU, ... ECRB) The distal carpal ... #msk #orthopedics

Mytomes - Segmental Innervation of Muscles
Shoulder Abduction C5 Axillary Nerve
Shoulder Adduction C6-C8 Thoracodorsal Nerve
Elbow Flexion C5 Musculocutaneous Nerve
Elbow Extension C7 Radial Nerve
Wrist Extension C6 Radial Nerve
Fingers Flexion C8 Median Nerve
Fingers Abduction T1 Ulnar Nerve
Hip Flexion L2 Nerve to Psoas
Hip Extension S1 Inferior Gluteal

Thoracodorsal Nerve Elbow ... Musculocutaneous Nerve Elbow ... Extension C7 Radial ... Nerve Wrist Extension ... #MuscleGroups #MSK

$Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected$

commonly fractured carpal ... not seen on x-ray ... Scaphoid #Fracture #Wrist ... #XRay #Diagnosis ... Orthopedics #Sports #MSK

Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
• Abduction - C5,C6 (axillary)
• Adduction - C6, C7,

- C6, C7, C8 Elbow ... Pronation - C7, C8 Wrist ... C7 (median) • Extension ... Horner Syndrome Wrist ... Carpal Tunnel Syndrome

Maudsley's Test for Lateral Epicondylitis ("Tennis Elbow")

With the wrist prone, the patient attempts extension of the

Epicondylitis ("Tennis Elbow ... ") With the wrist ... patient attempts extension ... movement stresses the extensor ... #physicalexam #msk

Maudsley's Test for Lateral Epicondylitis ("Tennis Elbow")

With the wrist prone, resist extension of the 3rd digit,

Epicondylitis ("Tennis Elbow ... ") With the wrist ... prone, resist extension ... movement stresses the extensor ... #physicalexam #msk

Example of 4th wrist extensor compartment tenosynovitis, note marked synovial hypertrophy and effusion in the tendon

Example of 4th wrist ... extensor compartment ... Ultrasound Site - MSK ... mskultrasound #wrist ... #pocus

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