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

Rock - Median
with upper limb fractures ... drsarahedwards #Diagnosis ... #PhysicalExam # ... Mnemonic #Upper #Arm #Injury ... #Innervation
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
common orthopedic injury ... , median nerve injury ... carpal tunnel syndrome ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
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
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... Tumor • Motor Nerves ... injury, Sarcoid ... #differential #diagnosis ... #neurology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
posterior interosseous nerve ... ), compartment syndrome ... , ligamentous injury ... Radiology #XRay #Diagnosis ... Orthopedics #Proximal #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior interosseous nerve ... brachial artery injury ... ), compartment syndrome ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Leg Pain: • Fracture ... Trauma • Crush injury ... lower #extremity #msk ... #physicalexam
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... Common peroneal nerve ... Compartment syndrome ... #msk #clinical
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... Medical Emergency ... damage to peroneal nerve ... such as fibular fracture ... #neurology #sensory