13 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
of the hand • Exam ... pain with wrist ... flexion and extension ... #Orthopedics #Sports ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
outstretched hand • Exam ... extension • ... , median nerve injury ... #Orthopedics #Sports ... #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Distal Radius Fracture ... outstretched hand • Exam ... variable gross wrist ... , median nerve injury ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
outstretched hand • Exam ... extension • Possible ... associated injuries: distal ... #Orthopedics #Sports ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... outstretched hand • Exam ... #Wrist #Carpal ... #Orthopedics #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 ... #physicalexam #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 ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Fracture of distal ... outstretched hand • Exam ... swollen forearm and wrist ... pronation and at wrist ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... terminal extensor tendon ... distal to the DIP ... fingertip) • Exam ... #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
outstretched hand • Exam ... anterior interosseous nerve ... • ED Management ... #Orthopedics #Sports ... #MSK