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Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
- Ulnar Nerve ... drsarahedwards #Diagnosis ... #PhysicalExam # ... Mnemonic #Upper #Arm #Injury ... #Innervation
Hand Nerve Injuries - Common Presentations
 • Wrist Drop - Radial Nerve Injury
 • Claw Hand
Presentations • Wrist ... Drop - Radial Nerve ... Hand - Ulnar Nerve ... #Differential #Diagnosis ... #MSK #Orthopedics
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
Nerve Wrist Extension ... C6 Radial Nerve ... Fingers Abduction T1 Ulnar ... #MuscleGroups #MSK ... Orthopedics #Neurology #Diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
fracture, median nerve ... injury • ED ... #XRay #Diagnosis ... #Orthopedics #Sports ... #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... fracture, median nerve ... injury, acute carpal ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
nerve in the radial ... spared in this injury ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... • Due to injury ... injuries: distal radius ... #Orthopedics #Sports ... #MSK
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
Extensor Carpi Ulnaris ... The patient radially ... aspect of the wrist ... #msk #orthopedics ... #sports
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
Extensor Carpi Ulnaris ... ECU Subluxation diagnosed ... relevant body parts ... subluxation #clinical #physicalexam ... #msk