9 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
outstretched hand • Exam ... box, pain with wrist ... • ED Management ... #TerryThomas #Wrist ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
outstretched hand • Exam ... injury • ED Management ... #Wrist #Carpal ... #Orthopedics #Sports ... #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
of the hand • Exam ... ulna, pain with wrist ... injuries: Perilunate dislocation ... #Orthopedics #Sports ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
outstretched hand • Exam ... • ED Management ... Scaphoid #Fracture #Wrist ... XRay #Diagnosis #Management ... #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neuropathy Elbow ... forearm supination → wrist ... #ULNT2 #ULTT2 #clinical ... physicalexam #sports #msk ... #orthopedics #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... external rotation → elbow ... #ULNT1 #ULTT1 #clinical ... physicalexam #sports #msk ... #orthopedics #neurology
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
normally elicits elbow ... #Reflex #neurology ... #clinical #video ... #physicalexam #orthopedics ... #msk #sports #IRR
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... Change in clinical ... Intraabdominal - Orthopedic ... events or death (CARP ... medical and surgical management
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... imaging or serial exams ... nerve injury (25%) TEST ... trauma/vascular/orthopedic ... Posterior #Injury #msk