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$Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP$

, the extension ... of the terminal extensor ... immobilize • Splint: Extension ... MH/CCF/CWRU EM ... #Orthopedics #MSK

$Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a$

• DIP joint hinge ... tendon), mallet finger ... reduction • Splint: Finger ... MH/CCF/CWRU EM ... #Orthopedics #MSK

Mytomes - Segmental Innervation of Muscles
Shoulder Abduction C5 Axillary Nerve
Shoulder Adduction C6-C8 Thoracodorsal Nerve
Elbow Flexion C5 Musculocutaneous Nerve
Elbow Extension C7 Radial Nerve
Wrist Extension C6 Radial Nerve
Fingers Flexion C8 Median Nerve
Fingers Abduction T1 Ulnar Nerve
Hip Flexion L2 Nerve to Psoas
Hip Extension S1 Inferior Gluteal

Radial Nerve Wrist Extension ... Radial Nerve Fingers ... Median Nerve Fingers ... to Psoas Hip Extension ... #MuscleGroups #MSK

Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder

Differential Diagnosis Algorithm ... Resisted shoulder extension ... Differential #Diagnosis #Algorithm ... #MSK

Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness

compare 1) Extend finger ... passively flex finger ... limited in MCP extension ... tight PIPJ in MCP extension ... clinical #video #msk

Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the

Elson's Test - Extensor ... Digitorum Finger ... complete tear of the extensor ... #Elsons #Test #Finger ... video #sports #msk

Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →

Median Nerve Tension ... Neuropathy Elbow extension ... wrist dorsiflexion/finger ... extension → shoulder ... physicalexam #sports #msk

Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →

Median Nerve Tension ... wrist dorsiflexion/finger ... extension → shoulder ... rotation → elbow extension ... physicalexam #sports #msk

Flexor Tenosynovitis on POCUS

Index finger including flexor tendon being viewed. Note small fluid around the

Tenosynovitis on POCUS ... Index finger ... pain on passive extension ... Tenosynovitis #POCUS ... #MSK #clinical

Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which

dorsally and no longer ... pain with wrist extension ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK

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