14 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet Finger Absence ... exclude Mallet finger ... fingertip) • Exam ... #Radiology #XRay ... #Orthopedics #MSK
Bunnel-Littler PIP Joint Test on Physical Exam
For intrinsic vs joint capsule cause of restriction or tightness
Test on Physical Exam ... compare 1) Extend finger ... finger at PIP ... flex at the PIP ... clinical #video #msk
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Boxer's Fracture ... hard surface • Exam ... "fight bite", Keflex ... MetroHealth_EM #Boxers ... #Orthopedics #MSK
Boyes' Test - Flexor Digitorum Superficialis Finger Examination

Evaluate the injured finger for flexion.
Inability to flex the
Boyes' Test - Flexor ... Superficialis Finger ... Inability to flex ... open_michigan #Boyes ... video #sports #msk
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
• Colles (90% "dinner ... outstretched hand • Exam ... reduction using finger ... Colles #Distal #Radiology ... #Orthopedics #MSK
Flexor Tenosynovitis on POCUS

Index finger including flexor tendon being viewed.  Note small fluid around the
POCUS Index finger ... Exam would reveal ... Tenosynovitis #POCUS #MSK ... #clinical #radiology ... #finger #ultrasound
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam ... tendon), mallet finger ... reduction • Splint: Finger ... Dislocation #IPJoint #Radiology ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
between all carpal bones ... between all carpal bones ... outstretched hand • Exam ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
200ms (3-5 small boxes ... (<2.5-3 small boxes ... safe #, but >500 DANGER ... Short QT <300-360 ms ... electrocardiogram #cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... outstretched hand • Exam ... Wrist #Carpal #Radiology ... Orthopedics #Sports #MSK