22 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
phalanx to enable extension ... phalanx to enable extension ... tendon), mallet ... tendon) • ED ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
, the extension ... tendon distal to ... Exam: Swollen and tender ... immobilize • Splint: Extension ... #MSK
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 ... Median #Nerve #Tension
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... extension • ... Disposition: Pending orthopedic ... Diagnosis #Management #Orthopedics ... #Sports #MSK
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 ... Median #Nerve #Tension
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... extension • Possible ... follow-up with orthopedics ... #TerryThomas #Wrist ... #Sports #MSK
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
makes a fist with fingers ... pollicis longus and extensor ... pollicis brevis tendons ... Eichhoffs #Test #deQuervains ... physicalexam #sports #msk
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
Radial Nerve Wrist ... Extension C6 Radial ... to Psoas Hip Extension ... Tibial Nerve Knee Extension ... #MuscleGroups #MSK
Stenosing Flexor Tenosynovitis or Trigger Finger.
The middle finger is blocked in flexion and the effort /
The middle finger ... generated by its extension ... Stenosing #flexor #tendon ... tenosynovitis #msk ... #physicalexam #orthopedics
Flexor Tenosynovitis on POCUS

Index finger including flexor tendon being viewed.  Note small fluid around the
including flexor tendon ... around the flexor tendon ... tenderness over tendon ... pain on passive extension ... #MSK #clinical