14 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
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Injuries Rock - Median ... Ulnar Fractures ... • Extension of ... wrist & MCP joint ... #Injury #UpperExtremities
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... styloid fracture ... , median nerve injury ... #XRay #Diagnosis ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
flexion and extension ... dislocation, distal radius ... #Wrist #Carpal ... #Radiology #XRay ... Orthopedics #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Distal Radius Fracture ... variable gross wrist ... , median nerve injury ... , acute carpal tunnel ... #Orthopedics #MSK
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
musculocutaneous) • Extension ... ) • Extension ... • Extension - C7 ... nerve in the radial ... spared in this injury
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 ... C7 Radial Nerve ... Wrist Extension ... C6 Radial Nerve ... Hip Extension
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... extension • Possible ... injuries: distal radius ... #Radiology #XRay ... Orthopedics #Sports #MSK
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
Extension Brachioradialis ... Middle Finger Elbow Extension ... Reflex L2 Anterior Medial ... Cremasteric Reflex L3 Medial ... None L4 Medial
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet finger, the extension ... tendon distal to ... : Hyperflexion injury ... immobilize • Splint: Extension ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
ligaments (prevent radial ... and ulnar displacernent ... phalanx to enable extension ... phalanx to enable extension ... #Orthopedics #MSK