18 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Fractures • Extension ... of wrist & MCP ... (2%), Radius & Ulna ... adduction) OK Sign ... (5%), Radius & Ulna
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... distal to distal ulna ... flexion and extension ... distal radius or ulna ... #Orthopedics #Sports
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neuropathy Elbow extension ... forearm supination → wrist ... ULTT2 #clinical #video ... #physicalexam # ... sports #msk #orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... rotation → elbow extension ... ULTT1 #clinical #video ... #physicalexam # ... sports #msk #orthopedics
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... extended, and when ulnar ... extensors (ECU, ... orthopedics #clinical #video ... #physicalexam
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Nerve Palsy ... #Test #Ulnar #Nerve ... Palsy #clinical #video ... #neurology #physicalexam ... #orthopedics #sports
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
Ulnar Fovea Sign ... aspect of the wrist ... #Fovea #Sign #Test ... #video #physicalexam ... orthopedics #msk #sports
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... Adduction - C7-T1 (ulnar ... Carpal Tunnel Syndrome ... sensory #motor #arm #physicalexam
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... box, pain with wrist ... extension • Possible ... #Orthopedics #Sports
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 ... #Orthopedics #Sports