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 ... #Peripheral #Nerves ... #PhysicalExam # ... Mnemonic #Upper #Arm #Injury
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 ... Exam: swollen elbow ... syndrome, ligamentous injury ... Radiology #XRay #Diagnosis ... #Proximal #MSK
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
extends from the elbow ... the base of the ulna ... ECU Subluxation diagnosed ... subluxation #clinical #physicalexam ... #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 ... aracteristic "claw hand ... 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 ... onto outstretched hand ... brachial artery injury ... Radiology #XRay #Diagnosis ... #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... can't make A-OK sign ... ), ligamentous injury ... Radiology #XRay #Diagnosis ... #Sports #MSK