20 results
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 ... adduction) OK Sign
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
(finger flexor ... #finger #flexor ... #reflex #clinical ... #hand #video #physicalexam ... #msk #orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... onto outstretched hand ... dorsum of the hand ... flexion and extension ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... that is fixed in flexion ... #Radiology #XRay ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
reduction • Splint: Finger ... Discharge with orthopedic ... IPJoint #Radiology #XRay ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... extension • ... fracture, median nerve ... Carpal #Radiology #XRay ... #Sports #MSK
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
Hoffman's sign. ... The median nerve ... . 2) Ask the patient ... to relax the hand ... Positive #Abnormal #clinical
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
onto outstretched hand ... variable gross wrist ... fracture, median nerve ... reduction using finger ... #MSK
The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability. 
With the wrist flexed,
With the wrist flexed ... extension. ... #Instability #Hand ... #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 ... neck ipsilateral flexion ... #ULNT2 #ULTT2 #clinical ... #orthopedics #neurology