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Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
Paper - Radial ... drsarahedwards #Diagnosis ... Pediatrics #Hand #Peripheral ... #Nerves #PhysicalExam ... #Arm #Injury #Innervation
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
Mytomes - Segmental Innervation ... C7 Radial Nerve ... Wrist Extension ... C6 Radial Nerve ... Orthopedics #Neurology #Diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... fracture, median nerve ... injury • ED Management ... #Carpal #Radiology ... #XRay #Diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... nerve in the radial ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
1 Minute Neuro Hand Examination - "Check your Six" Mnemonic

A simple way to test the peripheral
way to test the peripheral ... nerve function ... #innervation #Hand ... #finger #Physicalexam ... #clinical #video
Synkinetic Wrist Extension Maneuver demonstrating Radial Nerve Palsy as cause for Wrist Drop

Up up, down down.
Extension Maneuver ... Nerve Palsy as ... #Radial #Nerve ... Drop #clinical #video ... #physicalexam #
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... fracture, median nerve ... injury, acute carpal ... injury) • ED Management ... Radiology #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... extension • Possible ... injuries: distal radius ... #TerryThomas #Wrist
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... flexion and extension ... dislocation, distal radius ... #XRay #Diagnosis ... #Management #Orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Peripheral Neuropathy ... Elbow extension ... forearm supination → wrist ... ULTT2 #clinical #video ... #physicalexam #