27 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
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& Ulnar Fractures ... • Extension of ... wrist & MCP joint ... Small muscles of hand ... UpperExtremities #diagnosis #neurology
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
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
flexion and extension ... dislocation, distal radius ... #Radiology #XRay ... #Orthopedics #Sports ... #MSK
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
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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... extension • ... #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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Distal Radius Fracture ... onto outstretched hand ... variable gross wrist ... #Distal #Radiology ... #Orthopedics #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 ... #orthopedics #msk ... #sports #IRR #Radial
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... extension • Possible ... injuries: distal radius ... #Orthopedics #Sports ... #MSK