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

Rock - Median
- Ulnar Nerve ... OK Sign - Anterior ... #Peripheral #Nerves ... #PhysicalExam # ... Mnemonic #Upper #Arm
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... Nerve Peripheral ... Neuropathy Elbow ... external rotation → forearm ... #sports #msk #orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... Nerve Peripheral ... Shoulder abduction → forearm ... external rotation → elbow ... #sports #msk #orthopedics
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Peak age 4-10 • Ulna ... Exam: swollen elbow ... and forearm, limited ... posterior interosseous nerve ... Posterior long arm
1 Minute Neuro Hand Examination - "Check your Six" Mnemonic

A simple way to test the peripheral
nerve function ... Ask your patient ... /ulnar) 2) OK sign ... )" 6) Sign off ... #finger #Physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... Abduction - C8-T1 (ulnar ... spared in this injury ... sensory #motor #arm ... #physicalexam
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injuries: Fractures (medial ... anterior interosseous nerve ... can't make A-OK sign ... Posterior long arm ... Orthopedics #Sports #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
onto outstretched hand ... anterior interosseous nerve ... brachial artery injury ... Posterior long arm ... #Orthopedics #MSK
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
muscles of the forearm ... the elbow to the ... the base of the ulna ... subluxation #clinical #physicalexam ... Orthopedics #Wrist #msk