11 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... outstretched hand • Exam ... extension • Possible ... #Orthopedics #Sports ... #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... of the hand • Exam ... injuries: Perilunate dislocation ... #Orthopedics #Sports ... #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neuropathy Elbow ... forearm supination → wrist ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
outstretched hand • Exam ... can't make A-OK sign ... • ED Management ... #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 ... #Wrist #Carpal ... #Orthopedics #Sports ... #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... external rotation → elbow ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
outstretched hand • Exam ... extension • ... radial styloid fracture ... #Orthopedics #Sports ... #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... outstretched hand • Exam ... dislocation, scaphoid ... Management: Pain ... #Orthopedics #MSK
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
normally elicits elbow ... extension and wrist ... #Reflex #neurology ... #orthopedics #msk ... #sports #IRR #Radial
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... imaging or serial exams ... Neurologic injuries ... nerve injury (25%) TEST ... Posterior #Injury #msk