13 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
bone. ... bone fracture ... wrist flexion and extension ... Discharge with orthopedic ... #Sports #MSK
Most Common Carpal Bone Fractures by Frequency
 • Scaphoid - 50-80%
 • Triquetral - 5-20%
 •
Most Common Carpal ... Bone Fractures ... Scaphoid - 50-80% • Triquetral ... frequency #radiology #msk ... #orthopedics #diagnosis
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... performed, the large bone ... contraction of the wrist extensors ... Instability #Wrist #msk ... #orthopedics #clinical
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
pain with wrist extension ... associated injuries: Carpal ... trapezium, capitate, triquetrum ... Dislocation #Wrist #Carpal ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
bones should be ... bones should be ... pain with wrist extension ... follow-up with orthopedics ... #Sports #MSK
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
Extensor Carpi Ulnaris ... (ECU) Synergy Test ... middle finger with one ... #physicalexam #msk ... #orthopedics #sports
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Nerve Tension Test ... Neuropathy Elbow extension ... dorsiflexion/finger extension ... physicalexam #sports #msk ... #orthopedics #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Nerve Tension Test ... dorsiflexion/finger extension ... rotation → elbow extension ... physicalexam #sports #msk ... #orthopedics #neurology
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
include a: • Neurologic ... tympanic membrane • Neurologic ... Normal: Air > bone ... hearing loss: Bone ... Noise trauma ○ MS
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... flexion, wrist extension ... #Reflex #neurology ... #physicalexam #orthopedics ... #msk #sports #IRR