33 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... flexion and extension ... fractures • ED Management ... Triquetrum #Fracture #Wrist ... #Management #Orthopedics
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
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 ... forearm supination → wrist ... dorsiflexion/finger extension ... #video #physicalexam
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 ... #video #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
musculocutaneous) • Extension ... Pronation - C7, C8 Wrist ... C7 (median) • Extension ... C8 (median) • Extension ... Carpal Tunnel Syndrome
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... extensors (ECU, ... ECRB) The distal carpal ... #orthopedics #clinical ... #video #physicalexam
Synkinetic Wrist Extension Maneuver demonstrating Radial Nerve Palsy as cause for Wrist Drop

Up up, down down.
Extension Maneuver ... extension can be ... the fist leads extension ... #Extension #Maneuver ... #video #physicalexam
Radial Nerve Anatomy and Function
The Radial nerve is the nerve of elbow, wrist and digital extension.
elbow, wrist and ... digital extension ... space and the wrist ... When clinically ... extension) but
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet finger, the extension ... joint needs to be clinically ... tendon distal to ... immobilize • Splint: Extension ... Finger #Radiology #XRay