15 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
• Extension of wrist ... Small muscles of hand ... adduction) OK Sign ... Scissors #Nerve #Injury ... UpperExtremities #diagnosis #neurology
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... extension and wrist ... #Reflex #neurology ... clinical #video #physicalexam ... #orthopedics #msk
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
upper motor neuron injury ... test itself involves ... thumb on the same hand ... clinical #video #neurology ... #physicalexam
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Sign) for ACL Injury ... #Sign #ACL #Injury ... anterior #cruciate #ligament ... clinical #video #physicalexam ... #sports #msk #orthopedics
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
elbow x-ray review alignment ... radiocapitellar lines), fat pads ... anterior sail sign ... onto outstretched hand ... II-IV, pending orthopedic
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... • Due to injury ... scapholunate interosseous ligament ... onto outstretched hand ... injuries: distal radius
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Pathophysiology: • Severe injury ... Awareness • Injury ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
(finger flexor reflex ... indicating cervical injury ... #video #physicalexam ... #msk #orthopedics ... #neurology #sports
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... spared in this injury ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
elbow x-ray review alignment ... anterior sail sign ... capitellum (age 1), radial ... can't make A-OK sign ... brachial artery injury