Orthopedics wrist hand ultrasound shoulder instability syndrome - 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

capitate ("apple") should ... tea cup") which should ... onto outstretched hand ... 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

$Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •$

onto outstretched hand ... variable gross wrist ... carpal tunnel syndrome ... , scapholunate and ... procedural sedation and

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

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

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

Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
• Abduction - C5,C6 (axillary)
• Adduction - C6, C7,

Motor Function Shoulder ... Pronation - C7, C8 Wrist ... " ± Horner Syndrome ... Wrist drop - Occurs ... Anterior Shoulder

$Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected$

lead to carpal instability ... and osteoarthritis ... onto outstretched hand ... follow-up with Orthopedics ... Scaphoid #Fracture #Wrist

Sulcus Sign - Inferior Glenohumeral Instability

To test inferior glenohumeral stability place traction on the humerus with

the humoral head and ... with inferior instability ... #Glenohumeral #Instability ... #Shoulder #PhysicalExam ... #sports #msk #orthopedics

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