19 results
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
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
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
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
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
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
thumb and middle finger ... tendon with the ... aspect of the wrist ... #physicalexam #msk ... #orthopedics #sports
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
Example of 4th wrist extensor compartment tenosynovitis, note marked synovial hypertrophy and effusion in the tendon
Example of 4th wrist ... extensor compartment ... effusion in the tendon ... Ultrasound Site - MSK ... #pocus