46 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
no longer sitting ... onto outstretched hand ... • Exam: tenderness ... Radiology #XRay #Diagnosis ... #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Exam: variable ... gross wrist deformity ... reduction using finger ... Radiology #XRay #Diagnosis ... #MSK
Trousseau's Sign of Hypocalcemia on Physical Exam

Carpopedal spasm caused by ischemia induced by an inflated blood
Hypocalcemia on Physical Exam ... flexion of the wrist ... , thumb, and MCP ... hyperextension of the fingers ... Hypocalcemia #clinical #video
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fingertip) • Exam ... fracture • ED Management ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Exam: Swelling ... ulna, pain with wrist ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... onto outstretched hand ... • Exam: Tenderness ... box, pain with wrist ... #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Exam: swollen ... forearm and wrist ... at wrist • Possible ... Radiology #XRay #Diagnosis ... #MSK
The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability. 
With the wrist flexed,
examiner resists finger ... Video via @open_michigan ... #Instability #Hand ... #clinical #video ... #sports #msk #orthopedics
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam ... tendon), mallet finger ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Test on Physical Exam ... compare 1) Extend finger ... passively flex finger ... PhysicalExam #clinical #video ... #msk #PIP