10 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
& Ulnar Fractures ... • Extension of ... wrist & MCP joint ... Small muscles of hand ... UpperExtremities #diagnosis #neurology
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... wrist, limited ... at wrist • Possible ... #Radiology #XRay ... #Diagnosis #Management
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... flexion and extension ... dislocation, distal radius ... #Wrist #Carpal ... #Radiology #XRay
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... extension • ... injuries: Carpal fracture ... styloid fracture ... #Carpal #Radiology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Distal Radius Fracture ... onto outstretched hand ... variable gross wrist ... injury) • ED Management ... #Distal #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... box, pain with wrist ... extension • Possible ... injuries: distal radius ... #TerryThomas #Wrist
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
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... ligaments (prevent radial ... ) • ED Management ... Dislocation #IPJoint #Radiology ... XRay #Diagnosis #Management
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
or the axon of peripheral ... depressed deep tendon ... sensitive tests ... Syndrome #diagnosis #management ... #neurology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
If yes, any mention ... determine if stress test ... - Aortic - Peripheral ... one post op Cardiology ... surgical management