9 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
outstretched hand • Exam ... associated injuries: Carpal ... fracture, median nerve ... injury • ED Management ... #Orthopedics #Sports
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
of the hand • Exam ... associated injuries: Perilunate ... fractures • ED Management ... Discharge with orthopedic ... #Orthopedics #Sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
outstretched hand • Exam ... scaphoid fracture, perilunate ... follow-up with orthopedics ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
outstretched hand • Exam ... dissociation, perilunate ... dislocation • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
outstretched hand • Exam ... : swollen elbow ... and forearm, limited ... posterior interosseous nerve ... DC with orthopedic
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
outstretched hand • Exam ... anterior interosseous nerve ... fracture • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neuropathy Elbow ... external rotation → forearm ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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outstretched hand • Exam ... fracture, median nerve ... injury, acute carpal ... injury) • ED Management ... Radius #Fracture #Forearm
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Shoulder abduction → forearm ... external rotation → elbow ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT