15 results
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... forearm supination → wrist ... #Tension #Test ... #sports #msk #orthopedics ... #neurology #ULNT
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... forearm supination → wrist ... #Tension #Test ... #sports #msk #orthopedics ... #neurology #ULNT
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
Shoulder Adduction ... Wrist Extension ... #MuscleGroups #MSK ... #Orthopedics #Neurology ... #Diagnosis
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
• Extension of wrist ... adduction) OK Sign - AIN ... Thumb flexion at IP ... #Injury #UpperExtremities ... #diagnosis #neurology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, pain with wrist ... fracture, median nerve ... injury • ED ... Radiology #XRay #Diagnosis ... Orthopedics #Sports #MSK
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Motor Function Shoulder ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Diagnosis Framework ... Herpes zoster - HIV ... Trauma • Crush injury ... lower #extremity #msk ... #physicalexam
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... visceral organ or nerve ... e.g., congenital hip ... #MSK #rheumatology ... #differential #diagnosis
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... The evaluation should ... include a: • Neurologic ... audiometry • Patients should ... Noise trauma ○ MS
 The following #reflexes are routinely tested, and the response elicited is graded from zero to
and left side should ... The examiner should ... the side of a nerve ... or spinal root injury ... The Achilles tendon