9 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
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Finger Flexion ... • Extension of wrist ... (2%), Radius & Ulna ... muscles of hand ... UpperExtremities #diagnosis #neurology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... , pain with wrist ... flexion and extension ... Management: Pain ... #MSK
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 ... physicalexam #sports #msk ... #orthopedics #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... dorsiflexion/finger ... neck ipsilateral flexion ... physicalexam #sports #msk ... #orthopedics #neurology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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onto outstretched hand ... variable gross wrist ... injury) • ED Management ... reduction using finger ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
tendon) • ED Management ... Discharge with orthopedic ... XRay #Diagnosis #Management ... #Hand #Orthopedics ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
of a fracture does ... that is fixed in flexion ... • ED Management ... #Hand #Orthopedics ... #MSK
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
metacarpal • The ulna ... place, whereas the longer ... to the thumb in flexion ... #Hand #Orthopedics ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... onto outstretched hand ... radial styloid fracture ... #Orthopedics #Sports ... #MSK