18 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Visible deformity, Tender ... Painful balottement test ... ANY WRIST FRACTURES ... Visible deformity, Tender ... #msk #orthopedics
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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Distal Radius Fracture ... variable gross wrist ... injury) • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dislocation, distal radius ... • ED Management ... #Wrist #Carpal ... #Orthopedics #Sports ... #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... injuries: Rare • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... styloid fracture ... injury • ED Management ... #Orthopedics #Sports ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... injuries: distal radius ... #TerryThomas #Wrist ... #Orthopedics #Sports ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED Management ... #Wrist #Carpal ... XRay #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
lateral epicondyle > radial ... dislocation + radial ... • ED Management ... #Orthopedics #Sports ... #MSK
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... side of the wrist ... Inverted #Supinator #Test ... #physicalexam #orthopedics ... #msk #sports #IRR
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... forearm supination → wrist ... Median #Nerve #Tension ... #physicalexam #sports ... #msk #orthopedics