16 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Fractures • Extension ... of wrist & MCP ... Small muscles of hand ... adduction) OK Sign ... #Injury #UpperExtremities
Anterior Interosseous Peripheral Nerve Injury 

Manifested as the inability to make the OK sign.

by Dr. Boby
Injury Manifested ... to make the OK sign ... video #neurology #physicalexam ... #msk #sports #neurology ... #orthopedics #Hand
OK Sign - Interosseous Nerve Injury

Patients with compromise of anterior interosseous nerve will not be able
Nerve Injury ... #Injury #Finger ... #Hand #PhysicalExam ... clinical #video #sports ... #msk #orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
no longer sitting ... extension • ... fracture, median nerve ... injury • ED ... #Sports #MSK
Froment's Sign - Ulnar Nerve Injury

Patients with compromise of the ulnar nerve will not be able
Ulnar Nerve Injury ... third fingers, ... Injury #Hand #PhysicalExam ... clinical #video #sports ... #msk #orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
forearm supination → wrist ... dorsiflexion/finger ... extension → shoulder ... clinical #video #physicalexam ... #sports #msk #orthopedics
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... , C8 (radial) Finger ... aracteristic "claw hand ... spared in this injury ... sensory #motor #arm #physicalexam
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Positive Hoffmann's sign ... indicating cervical injury ... #video #physicalexam ... #msk #orthopedics ... #neurology #sports
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... dorsiflexion/finger ... extension → shoulder ... clinical #video #physicalexam ... #sports #msk #orthopedics
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... • Due to injury ... onto outstretched hand ... extension • Possible ... #Sports #MSK