11 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
finger deformity ... Discharge with orthopedic ... #IPJoint #Radiology ... Management #Hand #Orthopedics ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
tendon distal to ... Exam: Swollen and tender ... Discharge with orthpedic ... #Radiology #XRay ... #MSK
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 ... #Radiology #XRay ... #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
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... extension • Possible ... #TerryThomas #Wrist ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... flexion and extension ... injuries: Perilunate dislocation ... #Carpal #Radiology ... #Sports #MSK
Flexor Tenosynovitis on POCUS

Index finger including flexor tendon being viewed.  Note small fluid around the
Tenosynovitis on POCUS ... pain on passive extension ... Tenosynovitis #POCUS ... #MSK #clinical ... #radiology #finger
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 ... physicalexam #sports #msk ... #orthopedics #neurology
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 ... physicalexam #sports #msk ... #orthopedics #neurology
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
thumb and middle finger ... palpating the ECU tendon ... aspect of the wrist ... #physicalexam #msk ... #orthopedics #sports