26 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... ulna, pain with wrist ... flexion and extension ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... extension • ... fracture, median nerve ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... box, pain with wrist ... extension • Possible ... #Radiology #XRay ... Orthopedics #Sports #MSK
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 ... 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 ... ULTT1 #clinical #video
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... slightly extended, and ... extensors (ECU, ... #msk #orthopedics ... #clinical #video
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
musculocutaneous) • Extension ... C7 (median) • Extension ... C8 (median) • Extension ... aracteristic "claw hand ... Carpal Tunnel Syndrome
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet finger, the extension ... tendon distal to ... immobilize • Splint: Extension ... #Hand #Orthopedics ... #MSK
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 ... Drop #clinical #video
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... Scaphoid #Fracture #Wrist ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK