11 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... extension • ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... flexion and extension ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... PIP joint • Ortho ... Discharge with orthpedic ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... extension • Possible ... Thumb spica • Ortho ... MH/CCF/CWRU EM
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... injury, acute carpal ... reduction using finger ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
reduction • Splint: Finger ... splint • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Thumb spica • Ortho ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... #XRay #Diagnosis ... #Management #Orthopedics
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
makes a fist with fingers ... reproduction of patient's symptoms ... pollicis longus and extensor ... Tenosynovitis #clinical ... #sports #msk #orthopedics
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
Extensor Carpi Ulnaris ... thumb and middle finger ... aspect of the wrist ... #Tendinitis #clinical ... physicalexam #msk #orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... dorsiflexion/finger ... positive with symptom ... #ULNT1 #ULTT1 #clinical ... #sports #msk #orthopedics