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Hand Nerve Injuries - Common Presentations
 • Wrist Drop - Radial Nerve Injury
 • Claw Hand
Presentations • Wrist ... - Radial Nerve Injury ... • Claw Hand - Ulnar ... Nerve Injury • ... Diagnosis #MSK #Orthopedics
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Axillary Nerve Shoulder ... Radial Nerve Wrist ... Fingers Abduction T1 Ulnar ... Femoral Nerve Ankle ... MuscleGroups #MSK #Orthopedics
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
Test for Fovea ... aspect of the wrist ... flexion with the wrist ... #wrist #clinical ... #physicalexam #orthopedics
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Spinal Cord Injury ... C6 Dorsal Thumb Wrist ... Flexion None T1 Ulnar ... Plantarflexion Ankle ... #SpinalCord #Injury
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate ("apple") should ... tea cup") which should ... , median nerve injury ... Disposition: Pending orthopedic ... Diagnosis #Management #Orthopedics
Ulnar Compression Test - Ulnar Tunnel Syndrome

The ulnar compression test evaluates for ulnar tunnel syndrome.
Provide direct
Test - Ulnar Tunnel ... compression test ... is a positive test ... Tunnel #Syndrome #wrist ... #sports #msk #orthopedics
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Motor Function Shoulder ... Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... spared in this injury ... Anterior Shoulder
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
all carpal bones should ... • Due to injury ... all carpal bones should ... box, pain with wrist ... #TerryThomas #Wrist
Squeeze Test for Syndesmotic Injury

The squeeze test evaluates for a syndesmotic ankle injury. With the foot
Syndesmotic Injury ... a syndesmotic ankle ... injury. ... #leg #ankle #PhysicalExam ... #sports #msk #orthopedics
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture on Wrist ... over the hamate should ... negative a CT should ... prompt outpatient orthopedics ... neurovascular injury