19 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... ulna, pain with wrist ... flexion and extension ... #XRay #Diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
reduction • Splint: Finger ... Discharge with orthopedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
no longer sitting ... onto outstretched hand ... extension • ... #Carpal #Radiology ... #XRay #Diagnosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
that is fixed in flexion ... Discharge with orthpedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome. 
Fully flex wrists and
Fully flex wrists ... surfaces of hands ... Tunnel #Syndrome #Wrist ... #PhysicalExam # ... #sports #msk #orthopedics
Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome. 
Fully flex wrists and
Fully flex wrists ... surfaces of hands ... Tunnel #Syndrome #Wrist ... #PhysicalExam # ... #sports #msk #orthopedics
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
: • Flexion - ... aracteristic "claw hand ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Flexion Paper ... Fractures • Extension ... of wrist & MCP ... Small muscles of hand ... UpperExtremities #diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... onto outstretched hand ... box, pain with wrist ... extension • Possible ... #TerryThomas #Wrist
The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability. 
With the wrist flexed,
With the wrist flexed ... examiner resists finger ... extension. ... #Instability #Hand ... #Wrist #PhysicalExam