18 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 ... #Orthopedics #Sports ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... • Exam: Tenderness ... box, pain with wrist ... • ED Management ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam ... tendon) • ED Management ... Discharge with orthopedic ... #Hand #Orthopedics ... #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
onto outstretched hand ... • Exam: variable ... gross wrist deformity ... reduction using finger ... #Orthopedics #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... • Exam: Swelling ... injuries: Perilunate dislocation ... #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
forearm supination → wrist ... dorsiflexion/finger ... clinical #video #physicalexam ... #sports #msk #orthopedics ... #neurology #ULNT
The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability. 
With the wrist flexed,
examiner resists finger ... #Instability #Hand ... #Wrist #PhysicalExam ... video #sports #msk ... #orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... dorsiflexion/finger ... clinical #video #physicalexam ... #sports #msk #orthopedics ... #neurology #ULNT
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
extension and wrist ... consisting of finger ... #Reflex #neurology ... clinical #video #physicalexam ... #orthopedics #msk
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... • Exam: Tenderness ... • ED Management ... Scaphoid #Fracture #Wrist ... #MSK