15 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 ... #Carpal #Radiology ... #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
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... central band of extensor ... tendon Volar plate ... Hand #Fractures #XRay ... #Radiology #Wrist
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
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
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
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 ... Mallet #Finger #Radiology ... #XRay #Diagnosis
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
dislocation • ED Management ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics