13 results
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
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
Mallet finger ... to the lateral extensor ... central band of extensor ... tendon Volar plate ... #Radiology #Wrist
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
reduction • Splint: Finger ... Discharge with orthopedic ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... extension • ... #Carpal #Radiology ... #XRay #Diagnosis ... #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 ... Discharge with orthopedic ... #Carpal #Radiology ... #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... reduction using finger ... Colles #Distal #Radiology ... #XRay #Diagnosis ... #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
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... extension • Possible ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
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