12 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... flexion and extension ... Carpal #Radiology #XRay ... #Sports #MSK
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
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
tendon), mallet finger ... Discharge with orthopedic ... IPJoint #Radiology #XRay ... Diagnosis #Management #Hand ... #Orthopedics #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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... onto outstretched hand ... extension • ... Carpal #Radiology #XRay ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... onto outstretched hand ... extension • Possible ... Carpal #Radiology #XRay ... #Sports #MSK
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
, wrist extension ... consisting of finger ... Reflex #neurology #clinical ... #physicalexam #orthopedics ... #msk #sports #IRR
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
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
thumb and middle finger ... aspect of the wrist ... ulnaris #Tendinitis #clinical ... #physicalexam #msk ... #orthopedics #sports