29 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... Exam: Swollen and tender ... Discharge with orthpedic ... Radiology #XRay #Diagnosis ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... Disposition: Pending orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Amsterdam Wrist ... Visible deformity, Tender ... Visible deformity, Tender ... fracture #radiology #msk ... #orthopedics #diagnosis
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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• Colles (90% "dinner ... variable gross wrist ... reduction using finger ... 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 ... ulnar deviates the wrist ... pollicis brevis tendons ... #physicalexam #sports ... #msk #orthopedics
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
reduction • Splint: Finger ... Discharge with orthopedic ... Radiology #XRay #Diagnosis ... Management #Hand #Orthopedics ... #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
The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability. 
With the wrist flexed,
With the wrist flexed ... examiner resists finger ... dorsum of the wrist ... clinical #video #sports ... #msk #orthopedics
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
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Discharge with orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK