10 results
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Instability (MCI) of the Wrist ... The proximal carpal ... ECRB) The distal carpal ... with an audible “clunk ... #msk #orthopedics
Most Common Carpal Bone Fractures by Frequency
 • Scaphoid - 50-80%
 • Triquetral - 5-20%
 •
Most Common Carpal ... Pal @drdevrad #Carpal ... Bone #Fractures #wrist ... #frequency #radiology ... #msk #orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Discharge with orthopedic ... Triquetrum #Fracture #Wrist ... #Carpal #Radiology ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... Disposition: Pending orthopedic ... #Carpal #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... follow-up with orthopedics ... #TerryThomas #Wrist ... #Radiology #XRay ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
follow-up with Orthopedics ... follow-up with PCP or orthopedics ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
the most common orthopedic ... variable gross wrist ... injury, acute carpal ... Colles #Distal #Radiology ... #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
for Median Nerve Peripheral ... forearm supination → wrist ... Tension #Test #Peripheral ... physicalexam #sports #msk ... #orthopedics #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
for Median Nerve Peripheral ... forearm supination → wrist ... Tension #Test #Peripheral ... physicalexam #sports #msk ... #orthopedics #neurology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... - Aortic - Peripheral ... Intraabdominal - Orthopedic ... one post op Cardiology ... events or death (CARP