13 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
• Extension of wrist ... (2%), Radius & Ulna ... Small muscles of hand ... adduction) OK Sign ... (5%), Radius & Ulna
Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
Nerve OK Sign ... drsarahedwards #Diagnosis ... #Pediatrics #Hand ... #Peripheral #Nerves ... #PhysicalExam #
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... distal to distal ulna ... distal radius or ulna ... Radiology #XRay #Diagnosis ... #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Peak age 4-10 • Ulna ... onto outstretched hand ... Exam: swollen elbow ... syndrome, ligamentous injury ... #Proximal #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... onto outstretched hand ... fracture • ED Management ... Radiology #XRay #Diagnosis ... #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... wrist, limited ... at wrist • Possible ... Radiology #XRay #Diagnosis ... #MSK
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... Pronation - C7, C8 Wrist ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... brachial artery injury ... Radiology #XRay #Diagnosis ... #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... ), ligamentous injury ... brachial artery injury ... Radiology #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... • Due to injury ... ("Terry Thomas sign ... onto outstretched hand ... #Sports #MSK