53 results
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
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
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 ... Diagnosis #Management #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... , pain with wrist ... Disposition: Pending orthopedic ... #Carpal #Radiology ... Diagnosis #Management #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
Golfer’s Elbow Test

While supporting the elbow and palpating the medial epicondyle with one hand, the examiner
Golfer’s Elbow Test ... , the examiner supinates ... the hand at the wrist ... resists active wrist ... #physicalexam #orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Discharge with orthopedic ... Triquetrum #Fracture #Wrist ... #Carpal #Radiology ... Diagnosis #Management #Orthopedics
Most Common Carpal Bone Fractures by Frequency
 • Scaphoid - 50-80%
 • Triquetral - 5-20%
 •
Bone #Fractures #wrist ... #frequency #radiology ... #msk #orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
snuffbox, pain with supination ... follow-up with Orthopedics ... follow-up with PCP or orthopedics ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology