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Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury

to the lateral extensor ... central band of extensor ... Fractures #XRay #Radiology ... #Wrist #differential

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

Dislocation On lateral wrist ... , pain with wrist ... extension • ... #Carpal #Radiology ... Orthopedics #Sports #MSK

Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive

Instability (MCI) of the Wrist ... deviation of the wrist ... extensors (ECU, ... #Instability #Wrist ... #msk #orthopedics

$Amsterdam Wrist Rules Rules that dictate which patients require imaging based on the likelihood of wrist fracture$

Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... radius #fracture #radiology ... #msk #orthopedics

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 C6 Radial ... to Psoas Hip Extension ... Tibial Nerve Knee Extension ... #MuscleGroups #MSK

$Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck$

ulna, pain with wrist ... flexion and extension ... Triquetrum #Fracture #Wrist ... #Carpal #Radiology ... Orthopedics #Sports #MSK

Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"

box, pain with wrist ... extension • Possible ... #TerryThomas #Wrist ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK

Example of 4th wrist extensor compartment tenosynovitis, note marked synovial hypertrophy and effusion in the tendon

Example of 4th wrist ... extensor compartment ... Ultrasound Site - MSK ... mskultrasound #wrist ... #extensor #tenosynovitis

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

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

Mallet finger, the extension ... of the terminal extensor ... immobilize • Splint: Extension ... Mallet #Finger #Radiology ... #Orthopedics #MSK

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