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Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
- Differential Diagnosis ... (regardles of supination ... #Differential #Diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, C8 (radial) Supination ... Jerk - C5, C6 • Supinator ... Dermatomes #Myotomes #diagnosis
Yergason's Test on Physical Exam
Yergason's test for biceps tendon pathology testing stability of the tendon within
Resisted ER, supination ... external rotation and supination ... #PhysicalExam #clinical
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
especially in supination ... long arm (with supination ... Radiology #XRay #Diagnosis
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
C6, C7, C8 • Supinator ... Dermatomes #Myotomes #diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
especially in supination ... long arm with supination ... Radiology #XRay #Diagnosis
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
flexion, Painful supination ... #orthopedics #diagnosis
Scapular Manipulation Technique for Reduction of Anterior Shoulder Dislocation (Left Shoulder)

The scapular manipulation technique focuses on
traction with supination ... #Dislocation #clinical
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
snuffbox, pain with supination ... Radiology #XRay #Diagnosis
Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
Classification A: In a Supination-Adduction ... B: In Supination ... #Diagnosis #Orthopedics