Clunk jerk msk orthopedics wrist management - GrepMed

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Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive

Instability (MCI) of the Wrist ... deviation of the wrist ... with an audible “clunk ... #Instability #Wrist ... #msk #orthopedics

Jerk Test for Glenohumeral Joint Posteroinferior Instability

The arm is held at 90 degrees abduction and internal

Jerk Test for Glenohumeral ... /clunk as the humeral ... /clunk as it returns ... physicalexam #shoulder #msk ... #orthopedics #sports

Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which

injury • ED Management ... Disposition: Pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports ... #MSK

Hand Nerve Injuries - Common Presentations
• Wrist Drop - Radial Nerve Injury
• Claw Hand

Presentations • Wrist ... Differential #Diagnosis #MSK ... #Orthopedics

$Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck$

ulna, pain with wrist ... fractures • ED Management ... Discharge with orthopedic ... #Orthopedics #Sports ... #MSK

Watson's Test for Scapholunate Instability

1) The examiner places a thumb over the scaphoid tubercle, applying dorsal

pressure. 2) The wrist ... Interpretation: A painful clunk ... #Instability #wrist ... #physicalexam #orthopedics ... sports #scaphoid #msk

$Amsterdam Wrist Rules Rules that dictate which patients require imaging based on the likelihood of wrist fracture$

Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... fracture #radiology #msk ... #orthopedics #diagnosis

$Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •$

the most common orthopedic ... variable gross wrist ... injury) • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK

Clunk Test for Glenoid Labral Tear

A positive test is seen in the presence of a clunk,

Clunk Test for Glenoid ... presence of a clunk ... #Clunk #Test #Glenoid ... #physicalexam #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 ... #Orthopedics #Sports ... #MSK

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