17 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
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 ... #Orthopedics #MSK
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 ... Orthopedics #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 ... Orthopedics #Sports #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
for Median Nerve Peripheral ... forearm supination → wrist ... #Test #Peripheral ... physicalexam #sports #msk ... #orthopedics #neurology
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 ... #Distal #Radiology ... #Orthopedics #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
for Median Nerve Peripheral ... forearm supination → wrist ... #Test #Peripheral ... physicalexam #sports #msk ... #orthopedics #neurology
Inverted Supinator Test

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