13 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
fracture in a patient ... FRACTURES: • ... Painful balottement test ... ANY WRIST FRACTURES ... fracture #radiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
with the distal radius ... extension • ... injuries: Carpal fracture ... styloid fracture ... #Radiology #XRay
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
& Ulnar Fractures ... • Extension of ... wrist & MCP joint ... & Ulna Fractuers ... UpperExtremities #diagnosis #neurology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... extension • Possible ... injuries: distal radius ... #TerryThomas #Wrist ... Scaphoid #Carpal #Radiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
flexion and extension ... injuries: Perilunate dislocation ... , distal radius ... #Wrist #Carpal ... #Radiology #XRay
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... for Median Nerve Peripheral ... forearm supination → wrist ... #Test #Peripheral ... #orthopedics #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... for Median Nerve Peripheral ... forearm supination → wrist ... #Test #Peripheral ... #orthopedics #neurology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... ligaments (prevent radial ... of the extensor tendon ... of the extensor tendon ... #IPJoint #Radiology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
C6, C7, C8 (radial ... Pronation - C7, C8 Wrist ... Horner Syndrome Wrist ... Anterior Shoulder Dislocation ... Myotomes #diagnosis #neurology
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... identifying a lesion ... extension and wrist ... Inverted #Supinator #Test ... #Reflex #neurology