19 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
• Extension of wrist ... (2%), Radius & Ulna ... adduction) OK Sign ... (5%), Radius & Ulna ... Scissors #Nerve #Injury
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
Ulnar Fovea Sign ... examiner with the elbow ... The elbow is in ... #video #physicalexam ... #orthopedics #msk
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... distal to distal ulna ... distal radius or ulna ... Orthopedics #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Fracture of proximal ulnar ... Peak age 4-10 • Ulna ... Exam: swollen elbow ... syndrome, ligamentous injury ... Orthopedics #Proximal #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neurodynamic Tests, ULNT2 ... Neuropathy Elbow ... forearm supination → wrist ... clinical #video #physicalexam ... #sports #msk #orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Neurodynamic Tests, ULNT1 ... forearm supination → wrist ... external rotation → elbow ... clinical #video #physicalexam ... #sports #msk #orthopedics
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... radioulnar joint injury ... fracture • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... swollen forearm and wrist ... pronation and at wrist ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... spared in this injury ... 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 ... syndrome • ED Management ... #Orthopedics #MSK