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Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
with upper limb fractures ... #Pediatrics #Hand ... #PhysicalExam # ... Mnemonic #Upper #Arm ... #Injury #Innervation
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
(medial/lateral ... anterior interosseous nerve ... Posterior long arm ... Radiology #XRay #Diagnosis ... #Sports #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... • ED Management ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
nerve in the radial ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
styloid fracture ... , median nerve injury ... • ED Management ... Radiology #XRay #Diagnosis ... #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... posterior interosseous nerve ... syndrome, ligamentous injury ... Posterior long arm ... Radiology #XRay #Diagnosis
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
rotated, extended arm ... injuries: Axillary nerve ... injury (40%, loss ... Radiology #XRay #Diagnosis ... #Sports #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
capitellum (age 1), radial ... anterior interosseous nerve ... brachial artery injury ... Posterior long arm ... Radiology #XRay #Diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
ligaments (prevent radial ... Hyperextension injury ... dislocation, due to EDS ... Radiology #XRay #Diagnosis ... #Management #Hand