Supination orthopedics management test radiology wrist - GrepMed

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$Amsterdam Wrist Rules Rules that dictate which patients require imaging based on the likelihood of wrist fracture$

Amsterdam Wrist ... flexion, Painful supination ... Painful balottement test ... radius #fracture #radiology ... #msk #orthopedics

Galeazzi Fracture
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall

swollen forearm and wrist ... pronation and at wrist ... long arm with supination ... Radial #Distal #Radiology ... #Orthopedics #MSK

Monteggia Fracture
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where

especially in supination ... long arm (with supination ... DC with orthopedic ... Forearm #Ulnar #Radiology ... #Orthopedics #Proximal

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

injury • ED Management ... Disposition: Pending orthopedic ... #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports

Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level. Tapping the

Inverted Supinator ... Test Useful ... elbow flexion, wrist ... #Test #Reflex # ... #physicalexam #orthopedics

Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →

Nerve Tension Test ... Upper-Limb Neurodynamic Tests ... rotation → forearm supination ... → wrist dorsiflexion ... #sports #msk #orthopedics

Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →

Nerve Tension Test ... Upper-Limb Neurodynamic Tests ... abduction → forearm supination ... → wrist dorsiflexion ... #sports #msk #orthopedics

Urination on Fetal Ultrasound

Lest we forget, here is a vivid reminder that amniotic fluid is predominantly

Urination on Fetal ... Ultrasound Lest ... hellersound #Urine #Urination ... POCUS #Obstetrics #Radiology

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

snuffbox, pain with supination ... dislocation • ED Management ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... XRay #Diagnosis #Management

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

ulna, pain with wrist ... fractures • ED Management ... Discharge with orthopedic ... #Carpal #Radiology ... #Orthopedics #Sports

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