15 results
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
Fracture • Most ... common elbow fracture ... ), compartment syndrome ... Posterior long arm • Ortho ... Type l, DC with ortho
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Test if patient ... flexed at the elbow ... #PhysicalExam #neurology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Monteggia Fracture ... Fracture of proximal ... Exam: swollen elbow ... ), compartment syndrome ... I or Ill) • Ortho
Bicep muscle injury - Yergason Test - 1. Position patient's elbow at 90 degrees with thumb
injury - Yergason Test ... Position patient's elbow ... patient supinate and flex ... wrist) #Diagnosis #Ortho ... Bicep #Yergason #Test
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
distinguishing feature ... • Provocative Tests ... bulbocavernosus reflex ... absent anal wink test ... diagnosis #causes #neurology
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
and Myotomes Reflexes ... • Cauda Equina Syndrome ... such as fibular fracture ... Myotomes #diagnosis #neurology
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... normally elicits elbow ... radial (supinator) reflex ... Inverted #Supinator #Test ... #Reflex #neurology
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... involved) - Tendon reflex ... in deep tendon reflexes ... Vertebral burst fracture ... differential #diagnosis #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... , T1 (median) Reflexes ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology
Who to block and who not to block? Guidelines for Emergency Regional Anesthesiafor Trauma Orthopedic Injuries
Block
distal radius fracture ... • Elbow fracture ... document detailed neurologic ... for compartment syndrome ... possible compartment syndrorne