16 results
Orthopedic Dislocations (Shoulder, Elbow and Hip) - Diagnosis and Management Summary
Shoulder Dislocation
 • Fall on the
(Shoulder, Elbow ... ) Shoulder Reduction ... Reduction: Dislocation ... fully as a test ... #Shoulder #Elbow
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
bones should be ... • Due to injury ... bones should be ... extension • Possible ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... , median nerve injury ... sedation and emergent reduction ... #Wrist #Carpal ... Orthopedics #Sports #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
rotated, extended arm ... Axillary nerve injury ... neurovascular injury ... , difficult reduction ... Orthopedics #Sports #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

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

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
abduction → forearm ... supination → wrist ... → shoulder external ... rotation → elbow ... physicalexam #sports #msk
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... spared in this injury ... Carpal Tunnel Syndrome ... Dislocation - May ... sensory #motor #arm
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
), ligamentous injury ... brachial artery injury ... procedural sedation and reduction ... Posterior long arm ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Complications are ... ulna, pain with wrist ... flexion and extension ... injuries: Perilunate dislocation ... Orthopedics #Sports #MSK
Shoulder Impingement Syndrome (SIS): Signs and Symptoms

Repetitive Overhead Activity, Scapular Dyskinesis -> Scapulohumeral mechanics become altered
cuff (RC) muscle-tendon ... Syndrome + Painful arc ... test - Pain at ... abduction + Neer's ... signs #symptoms #msk