8 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
injuries: Axillary nerve ... procedural sedation and reduction ... injury, difficult reduction ... MH/CCF/CWRU EM ... #Orthopedics #Sports
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
On lateral wrist ... fracture, median nerve ... sedation and emergent reduction ... MH/CCF/CWRU EM ... #Orthopedics #Sports
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow ... anterior interosseous nerve ... procedural sedation and reduction ... MH/CCF/CWRU EM ... #Orthopedics #Sports
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... swollen elbow and forearm ... interosseous nerve ... • If stable reduction ... MH/CCF/CWRU EM
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Exam: swollen forearm ... and wrist, limited ... pronation and at wrist ... control • Splint: Posterior ... MH/CCF/CWRU EM
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... external rotation → forearm ... supination → wrist ... extension → shoulder abduction ... #physicalexam #sports
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... Neuropathy Shoulder abduction ... → forearm supination ... → wrist dorsiflexion ... #physicalexam #sports
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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variable gross wrist ... fracture, median nerve ... procedural sedation and reduction ... MH/CCF/CWRU EM ... Radius #Fracture #Forearm