9 results
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 ... • ED Management ... #TerryThomas #Wrist ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
fracture, median nerve ... injury • ED ... Management: Pain ... #Wrist #Carpal ... Orthopedics #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
anterior interosseous nerve ... ), ligamentous injury ... brachial artery injury ... fracture • ED Management ... Orthopedics #Sports #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Peripheral Neuropathy ... Elbow extension ... forearm supination → wrist ... #Peripheral #Nerve ... physicalexam #sports #msk
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Peripheral Neuropathy ... forearm supination → wrist ... external rotation → elbow ... #Peripheral #Nerve ... physicalexam #sports #msk
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... Pronation - C7, C8 Wrist ... spared in this injury ... Carpal Tunnel Syndrome ... Anterior Shoulder Dislocation
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... fracture, median nerve ... injury, acute carpal ... ) • ED Management ... #Orthopedics #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... Exam: swollen elbow ... posterior interosseous nerve ... syndrome, ligamentous injury ... Orthopedics #Proximal #MSK
 The following #reflexes are routinely tested, and the response elicited is graded from zero to
the side of a nerve ... or spinal root injury ... the patient's elbow ... a pin from the periphery ... Wrist clonus is