27 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Fractures • Finger ... Fractures • Extension ... of wrist & MCP ... adduction) OK Sign ... #Injury #UpperExtremities
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Elbow Extension ... C7 Radial Nerve ... Wrist Extension ... C6 Radial Nerve ... Knee Extension
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 ... Extension Brachioradialis ... Elbow Extension ... Femoral Condyle Knee Extension ... 2nd MTP) Big Toe Extension
Synkinetic Wrist Extension Maneuver demonstrating Radial Nerve Palsy as cause for Wrist Drop

Up up, down down.
Extension Maneuver ... extension can be ... finger/wrist drop ... #Radial #Nerve ... #physicalexam #
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... Neuropathy Elbow extension ... dorsiflexion/finger ... extension → shoulder ... #physicalexam #
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
musculocutaneous) • Extension ... C7 (median) • Extension ... C8 (median) • Extension ... nerve in the radial ... spared in this injury
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... dorsiflexion/finger ... extension → shoulder ... rotation → elbow extension ... #physicalexam #
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
extension and wrist ... consisting of finger ... Video by Mujtaba ... #physicalexam # ... orthopedics #msk
1 Minute Neuro Hand Examination - "Check your Six" Mnemonic

A simple way to test the peripheral
the peripheral nerve ... Ask your patient ... /ulnar) 2) OK sign ... #Physicalexam # ... clinical #video
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... extension • ... fracture, median nerve ... injury • ED ... Orthopedics #Sports #MSK