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msk diagnosis radiology carpal clinical management physicalexam video xray median nerve neurodynamic scapholunate tension ulnt amsterdam dislocation dissociation instability inverted
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
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... (scaphoid most ... styloid fracture ... #Carpal #Radiology ... #Sports #MSK
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Scaphoid Fractures ... follow-up with Orthopedics ... #Fracture #Wrist ... #Carpal #Radiology ... #Sports #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... injuries: distal radius ... fracture, scaphoid ... #Radiology #XRay ... #Sports #MSK
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... dislocation, distal radius ... #Wrist #Carpal ... #Radiology #XRay ... #Sports #MSK
Watson's Test for Scapholunate Instability 1) The examiner places a thumb over the scaphoid tubercle, applying dorsal
thumb over the scaphoid ... pressure. 2) The wrist ... from ulnar to radial ... #physicalexam #orthopedics ... #sports #scaphoid
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 Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2) To assess for Median Nerve Peripheral Neuropathy Elbow extension →
forearm supination → wrist ... #Peripheral #Nerve ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
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 Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1) To assess for Median Nerve Peripheral Neuropathy Shoulder abduction →
forearm supination → wrist ... #Peripheral #Nerve ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
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 Inverted Supinator Test Useful for identifying a lesion at the C5-C6 spinal cord level. Tapping the
Inverted Supinator Test ... Inverted #Supinator #Test ... #Reflex #neurology ... #physicalexam #orthopedics ... #msk #sports #IRR
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