16 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Visible deformity, Tender ... Painful balottement test ... radius #fracture #radiology ... #msk #orthopedics ... #diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... #Dissociation #TerryThomas ... #Wrist #Scaphoid ... #Carpal #Radiology ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... Exam: Swollen and tender ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... forearm supination → wrist ... Median #Nerve #Tension ... #physicalexam #sports ... #msk #orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... forearm supination → wrist ... Median #Nerve #Tension ... #physicalexam #sports ... #msk #orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Disposition: Pending orthopedic ... #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
ulnar deviates the wrist ... pollicis brevis tendons ... #physicalexam #sports ... #msk #orthopedics ... #rheumatology #wrist
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Discharge with orthopedic ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... Management #Hand #Orthopedics ... #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Discharge with orthopedic ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Maudsley's Test for Lateral Epicondylitis ("Tennis Elbow")

With the wrist prone, resist extension of the 3rd digit,
Maudsley's Test ... ") With the wrist ... digitorum muscle and tendon ... #physicalexam #msk ... #sports #orthopedics