Pivot orthopedics wrist shoulder instability - 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 ... (MCI) of the Wrist ... Intrinsic Midcarpal Instability ... 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 ... #Sulcus #Sign #Shoulder ... 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

Reverse Pivot Shift Test on Physical Exam

Dx: Posterolateral corner injury; but beware proximal tib/fib instability

Kendall

Reverse Pivot Shift ... proximal tib/fib instability ... injury #Reverse #Pivot ... clinical #msk #video #orthopedics

The Shuck Test for Scapholunate Instability

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

for Scapholunate Instability ... for scapholunate instability ... With the wrist flexed ... dorsum of the wrist ... #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 ... box, pain with wrist ... follow-up with orthopedics ... #TerryThomas #Wrist

Mytomes - Segmental Innervation of Muscles
Shoulder Abduction C5 Axillary Nerve
Shoulder Adduction C6-C8 Thoracodorsal Nerve
Elbow Flexion C5 Musculocutaneous Nerve
Elbow Extension C7 Radial Nerve
Wrist Extension C6 Radial Nerve
Fingers Flexion C8 Median Nerve
Fingers Abduction T1 Ulnar Nerve
Hip Flexion L2 Nerve to Psoas
Hip Extension S1 Inferior Gluteal

Innervation of Muscles Shoulder ... Axillary Nerve Shoulder ... Radial Nerve Wrist ... MuscleGroups #MSK #Orthopedics

Shoulder Anterior Drawer Test for Shoulder Instability

Mike Reinold @mikereinold

#Glenohumeral #Shoulder #Posterior #Drawer #Test #Laxity #Instability #clinical

Shoulder Anterior ... Drawer Test for Shoulder ... Instability ... #Test #Laxity #Instability ... #msk #sports #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

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

lead to carpal instability ... follow-up with Orthopedics ... follow-up with PCP or orthopedics ... Scaphoid #Fracture #Wrist ... Diagnosis #Management #Orthopedics

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