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diagnosis radiology management xray carpal clinical physicalexam video dislocation median nerve neurodynamic scaphoid ulnt amsterdam dissociation elbow inverted irr perilunate
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
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2) To assess for Median Nerve Peripheral Neuropathy Elbow extension →
forearm supination → wrist ... #Test #Peripheral ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
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 Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1) To assess for Median Nerve Peripheral Neuropathy Shoulder abduction →
forearm supination → wrist ... #Test #Peripheral ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
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 Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
flexion and extension ... dislocation, distal radius ... #Wrist #Carpal ... #Radiology #XRay ... #Sports #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... injuries: Carpal fracture ... styloid fracture ... #Carpal #Radiology ... #Sports #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Tenderness to anatomic ... box, pain with wrist ... extension • Possible ... injuries: distal radius ... #Sports #MSK
Inverted Supinator Test Useful for identifying a lesion at the C5-C6 spinal cord level. Tapping the
Inverted Supinator Test ... extension and wrist ... #Reflex #neurology ... #physicalexam #orthopedics ... #msk #sports #IRR
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 Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
tenderness to the anatomic ... Tenderness to anatomic ... #Wrist #Carpal ... #Radiology #XRay ... #Sports #MSK
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
Named based on anatomic ... lateral epicondyle > radial ... dislocation + radial ... Dislocation #Posterior #Radiology ... #Sports #MSK
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