Finger orthopedics management test wrist - GrepMed

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$Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •$

• Colles (90% "dinner ... variable gross wrist ... injury) • ED Management ... reduction using finger ... XRay #Diagnosis #Management

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

dorsally and no longer ... injury • ED Management ... Disposition: Pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports

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

Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... Painful balottement test ... radiology #msk #orthopedics

The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability.
With the wrist flexed,

With the wrist flexed ... examiner resists finger ... dorsum of the wrist ... Instability #Hand #Wrist ... #sports #msk #orthopedics

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

Mallet Finger Absence ... fracture • ED Management ... Discharge with orthpedic ... XRay #Diagnosis #Management ... #Hand #Orthopedics

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

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →

Nerve Tension Test ... Upper-Limb Neurodynamic Tests ... forearm supination → wrist ... dorsiflexion/finger ... #sports #msk #orthopedics

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

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →

Nerve Tension Test ... Upper-Limb Neurodynamic Tests ... forearm supination → wrist ... dorsiflexion/finger ... #sports #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 ... Radial Nerve Fingers ... Median Nerve Fingers ... MuscleGroups #MSK #Orthopedics

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

ulna, pain with wrist ... fractures • ED Management ... Discharge with orthopedic ... Triquetrum #Fracture #Wrist ... #Orthopedics #Sports

Eichhoff's Test for De Quervain's Tenosynovitis

Eichhoff's test evaluates for De Quervain's tenosynovitis. The patient places the

Eichhoff's Test ... the palm, wraps fingers ... around it, and the wrist ... Tenosynovitis #Wrist ... #sports #msk #orthopedics

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