Orthopedics wrist hand ultrasound shoulder instability impingement - GrepMed

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Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive

Midcarpal Instability ... Intrinsic Midcarpal Instability ... slightly extended, and ... MCI #Midcarpal #Instability ... #Wrist #msk #orthopedics

Sulcus Sign on Shoulder Exam

Positive sulcus sign in a shoulder with multidirectional instability.

Downward force applied at

Sulcus Sign on Shoulder ... sulcus sign in a shoulder ... multidirectional instability ... between the acromion and ... clinical #video #msk #orthopedics

Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which

Dislocation On lateral wrist ... capitate ("apple") should ... tea cup") which should ... Disposition: Pending orthopedic ... Diagnosis #Management #Orthopedics

The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability.
With the wrist flexed,

for Scapholunate Instability ... With the wrist flexed ... dorsum of the wrist ... #Hand #Wrist #PhysicalExam ... #sports #msk #orthopedics

Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"

all carpal bones should ... all carpal bones should ... onto outstretched hand ... box, pain with wrist ... #TerryThomas #Wrist

Modified Hawkins Test for Shoulder Impingement

With the shoulder and elbow flexed at 90 degrees, internally rotate

Impingement ... With the shoulder ... and elbow flexed ... #Impingement #clinical ... physicalexam #msk #orthopedics

$Hamate Fracture on Wrist X-Ray - point tenderness over the hamate should raise suspicion for a fracture,$

Hamate Fracture on Wrist ... over the hamate should ... negative a CT should ... prompt outpatient orthopedics ... Radiology #MSK #Orthopedics

Hawkins Kennedy Test for Shoulder Impingement

With the shoulder and elbow flexed at 90 degrees, internally rotate

Impingement ... With the shoulder ... and elbow flexed ... #Impingement #clinical ... physicalexam #msk #orthopedics

Hawkins Kennedy Test for Shoulder Impingement

With the shoulder and elbow flexed at 90 degrees, internally rotate

Impingement ... With the shoulder ... and elbow flexed ... #Impingement #clinical ... physicalexam #msk #orthopedics

Hawkins Kennedy Test for Shoulder Impingement

With the shoulder and elbow flexed at 90 degrees, internally rotate

Impingement ... With the shoulder ... and elbow flexed ... #Impingement #clinical ... physicalexam #msk #orthopedics

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