Supinator orthopedics wrist - GrepMed

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Inverted Supinator Test

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

Inverted Supinator ... radial side of the wrist ... elbow flexion, wrist ... extension and wrist ... #physicalexam #orthopedics

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

Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... flexion, Painful supination ... radiology #msk #orthopedics

Golfer’s Elbow Test

While supporting the elbow and palpating the medial epicondyle with one hand, the examiner

, the examiner supinates ... the hand at the wrist ... resists active wrist ... #physicalexam #orthopedics

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

swollen forearm and wrist ... especially in supination ... pronation and at wrist ... long arm with supination ... Diagnosis #Management #Orthopedics

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

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →

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 →

abduction → forearm supination ... → wrist dorsiflexion ... #sports #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 ... Diagnosis #Management #Orthopedics

Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps

patient's hand supinated ... aspect of the wrist ... physicalexam #msk #orthopedics

Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
• Abduction - C5,C6 (axillary)
• Adduction - C6, C7,

, C8 (radial) Supination ... Pronation - C7, C8 Wrist ... Jerk - C5, C6 • Supinator ... Horner Syndrome Wrist

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 ... #Dislocation #Wrist ... Diagnosis #Management #Orthopedics

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