12 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 ... Scissors #Nerve #Injury ... UpperExtremities #diagnosis #neurology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Distal Radius Fracture ... common orthopedic injury ... variable gross wrist ... #Distal #Radiology ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... styloid fracture ... , median nerve injury ... #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
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
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
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... box, pain with wrist ... extension • Possible ... injuries: distal radius ... Orthopedics #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 ... Inverted #Supinator #Test ... #Reflex #neurology ... #orthopedics #msk
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... ligaments (prevent radial ... Hyperextension injury ... Dislocation #IPJoint #Radiology ... #Orthopedics #MSK