54 results
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
• Colles (90% "dinner ... onto outstretched hand ... variable gross wrist ... reduction using finger ... Radiology #XRay #Diagnosis
The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability. 
With the wrist flexed,
With the wrist flexed ... examiner resists finger ... #Hand #Wrist #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Midcarpal Instability ... slightly extended, and ... #Wrist #msk #orthopedics ... #clinical #video ... #physicalexam
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
upper motor neuron injury ... The Hoffmann's reflex ... thumb on the same hand ... Positive #Abnormal #clinical ... video #neurology #physicalexam
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
flexor reflex) ... indicating cervical injury ... #clinical #hand ... #video #physicalexam ... #msk #orthopedics
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
4-6%), Humeral Shaft ... • Extension of wrist ... Small muscles of hand ... Scissors #Nerve #Injury ... UpperExtremities #diagnosis
Reverse Pivot Shift Test on Physical Exam

Dx: Posterolateral corner injury; but beware proximal tib/fib instability 

Kendall
Reverse Pivot Shift ... proximal tib/fib instability ... #Test #PhysicalExam ... #clinical #msk ... #video #orthopedics
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... : Hyperflexion injury ... flexion due to inability ... Radiology #XRay #Diagnosis ... #Management #Hand
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Pivot-Shift Test ... reconstruction to restore stability ... test #ACL #Knee #Injury ... #ACLTear #clinical ... #video #PhysicalExam
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
no longer sitting ... onto outstretched hand ... , median nerve injury ... Radiology #XRay #Diagnosis ... #Management #Orthopedics