30 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
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
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... wrist, limited ... #Radiology #XRay ... Diagnosis #Management #Orthopedics ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... styloid fracture ... #Carpal #Radiology ... #XRay #Diagnosis ... #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 ... #XRay #Diagnosis ... #MSK
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
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
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 ... #XRay #Diagnosis ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... onto outstretched hand ... #Wrist #Carpal ... #Radiology #XRay ... #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