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Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive

Midcarpal Instability ... (MCI) of the Wrist ... deviation of the wrist ... #Wrist #msk #orthopedics ... clinical #video #physicalexam

Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which

Dislocation On lateral wrist ... injury • ED Management ... Disposition: Pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports

The Shuck Test for Scapholunate Instability

The Shuck test assesses for scapholunate instability.
With the wrist flexed,

for Scapholunate Instability ... With the wrist flexed ... dorsum of the wrist ... #Hand #Wrist #PhysicalExam ... #sports #msk #orthopedics

$Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck$

ulna, pain with wrist ... fractures • ED Management ... Discharge with orthopedic ... Triquetrum #Fracture #Wrist ... #Orthopedics #Sports

Posteromedial Instability on Knee Exam
This is what a knee with posteromedial instability looks like. Notice the

Posteromedial Instability ... posteromedial instability ... Posteromedial #Instability ... #Knee #PhysicalExam ... clinical #video #orthopedics

$Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •$

the most common orthopedic ... variable gross wrist ... injury) • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK

Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of

Left Wrist Drop ... trauma_modern #Wrist ... #Nerve #Palsy #PhysicalExam ... clinical #video #orthopedics

$Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected$

lead to carpal instability ... dislocation • ED Management ... Scaphoid #Fracture #Wrist ... XRay #Diagnosis #Management ... #Orthopedics #Sports

Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"

box, pain with wrist ... follow-up with orthopedics ... #TerryThomas #Wrist ... XRay #Diagnosis #Management ... #Orthopedics #Sports

Sulcus Sign on Shoulder Exam

Positive sulcus sign in a shoulder with multidirectional instability.

Downward force applied at

multidirectional instability ... Sign #Shoulder #PhysicalExam ... clinical #video #msk #orthopedics

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