15 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
FRACTURES: • ... Painful balottement test ... ANY WRIST FRACTURES ... fracture #radiology ... #msk #orthopedics
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... , acute carpal tunnel ... #Fracture #Forearm ... #Distal #Radiology ... #Orthopedics #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dislocation, distal radius ... or ulna fractures ... #Wrist #Carpal ... #Radiology #XRay ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Exam: swollen forearm ... and wrist, limited ... #Forearm #Radius ... #Radiology #XRay ... #Orthopedics #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neuropathy Elbow ... external rotation → forearm ... supination → wrist ... physicalexam #sports #msk ... #orthopedics #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Shoulder abduction → forearm ... supination → wrist ... external rotation → elbow ... physicalexam #sports #msk ... #orthopedics #neurology
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... #Fracture #Elbow ... #Radiology #XRay ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
fracture (scaphoid ... styloid fracture ... , median nerve injury ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... box, pain with wrist ... injuries: distal radius ... #Radiology #XRay ... Orthopedics #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Peak age 4-10 • Ulna ... Exam: swollen elbow ... syndrome, ligamentous injury ... #Radiology #XRay ... Orthopedics #Proximal #MSK