14 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Injuries Rock - Median ... Fractures • Finger ... Fractures • Extension ... of wrist & MCP ... #Injury #UpperExtremities
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... ) Finger: • Mexion ... nerve in the radial ... spared in this injury ... sensory #motor #arm #physicalexam
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
by Nerve Root Levels ... C6 Dorsal Thumb Wrist ... Reflex L2 Anterior Medial ... Cremasteric Reflex L3 Medial ... None L4 Medial
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... extension • ... styloid fracture, median ... nerve injury ... #Orthopedics #Sports
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... forearm supination → wrist ... dorsiflexion/finger ... #ULNT2 #ULTT2 #clinical ... #video #physicalexam
Synkinetic Wrist Extension Maneuver demonstrating Radial Nerve Palsy as cause for Wrist Drop

Up up, down down.
Nerve Palsy as ... finger/wrist drop ... #Radial #Nerve ... #Palsy #Drop #clinical ... #video #physicalexam
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... forearm supination → wrist ... dorsiflexion/finger ... #ULNT1 #ULTT1 #clinical ... #video #physicalexam
Median Nerve Injury and Anhidrosis
Note dry skin that precisely matches a median nerve distribution (spares ulnar
Median Nerve Injury ... nerve injury. ... nerve injury was ... Anhidrosis #Hand #Clinical ... #Photo
Inverted Supinator Test

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

With the patient's hand supinated, the examiner grasps
thumb and middle finger ... The patient radially ... aspect of the wrist ... #video #physicalexam ... #orthopedics #sports