Positive orthopedics differential msk algorithm wrist instability diagnosis - 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 ... returns to its usual position ... MCI #Midcarpal #Instability ... #Wrist #msk #orthopedics

The Shuck Test for Scapholunate Instability

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

With the wrist flexed ... dorsum of the wrist ... is considered a positive ... video #sports #msk ... #orthopedics

Hand Nerve Injuries - Common Presentations
• Wrist Drop - Radial Nerve Injury
• Claw Hand

Presentations • Wrist ... Injuries #Anatomy #Differential ... #Diagnosis #MSK ... #Orthopedics

Positive J-Sign - Maltracking Patella on Knee Physical Exam

The J sign correlates with poor patellar tracking

Positive J-Sign ... and potential instability ... pratikorho #Positive ... clinical #video #msk ... #orthopedics #Maltracking

Posteromedial Instability on Knee Exam
This is what a knee with posteromedial instability looks like. Notice the

Posteromedial Instability ... posteromedial instability ... Notice the positive ... PhysicalExam #Injury #MSK ... clinical #video #orthopedics

Sulcus Sign on Shoulder Exam

Positive sulcus sign in a shoulder with multidirectional instability.

Downward force applied at

Shoulder Exam Positive ... multidirectional instability ... clinical #video #msk ... #orthopedics #sports

Watson's Test for Scapholunate Instability

1) The examiner places a thumb over the scaphoid tubercle, applying dorsal

for Scapholunate Instability ... is considered a positive ... #wrist #clinical ... #physicalexam #orthopedics ... sports #scaphoid #msk

Pathologic / Fragility Fractures - Differential Diagnosis Algorithm
Tumours
- See Bone Lesions Scheme
Paget's Disease
-

Diagnosis Algorithm ... spine/Pelvis - Positive ... Fractures #Pathologic #MSK ... Diagnosis #Algorithm ... #Orthopedics #Causes

$Amsterdam Wrist Rules Rules that dictate which patients require imaging based on the likelihood of wrist fracture$

Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... fracture #radiology #msk ... #orthopedics #diagnosis

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

Dislocation On lateral wrist ... Disposition: Pending orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK

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