14 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... tendon Volar plate ... thumb injury to ulnar ... #XRay #Radiology ... #Wrist #differential
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... flexion and extension ... • ED Management ... #Wrist #Carpal ... #Radiology #XRay
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Injuries Rock - Median ... (4%), Radius & Ulnar ... • Extension of ... wrist & MCP joint ... Scissors - Ulnar
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... fracture (scaphoid ... , median nerve injury ... • ED Management ... #XRay #Diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
musculocutaneous) • Extension ... Pronation - C7, C8 Wrist ... ) • Extension ... • Extension - C7 ... Carpal Tunnel Syndrome
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
Elbow Extension ... Wrist Extension ... Abduction T1 Ulnar ... Hip Extension ... Knee Extension
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 ... #Diagnosis #Management
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... Neuropathy Elbow extension ... dorsiflexion/finger extension ... #Nerve #Tension ... ULTT2 #clinical #video
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... forearm supination → wrist ... dorsiflexion/finger extension ... rotation → elbow extension ... #Nerve #Tension
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Cord Injury by Nerve ... Extension Brachioradialis ... Middle Finger Elbow Extension ... Femoral Condyle Knee Extension ... 2nd MTP) Big Toe Extension