17 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... tendon Volar plate ... thumb injury to ulnar ... Hand #Fractures #XRay ... #Radiology #Wrist
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
distal to distal ulna ... , pain with wrist ... flexion and extension ... distal radius or ulna ... Discharge with orthopedic
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
prevent radial and ulnar ... tendons attaches ... Discharge with orthopedic ... IPJoint #Radiology #XRay ... Management #Hand #Orthopedics
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
tendon distal to ... Exam: Swollen and tender ... Discharge with orthpedic ... Finger #Radiology #XRay ... Management #Hand #Orthopedics
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial-ulnar ... swollen forearm and wrist ... pronation and at wrist ... Distal #Radiology #XRay ... Diagnosis #Management #Orthopedics
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Instability (MCI) of the Wrist ... extended, and when ulnar ... deviation of the wrist ... extensors (ECU, ... #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
Radial Nerve Wrist ... Extension C6 Radial ... Fingers Abduction T1 Ulnar ... to Psoas Hip Extension ... MuscleGroups #MSK #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... extension • ... Disposition: Pending orthopedic ... Carpal #Radiology #XRay ... Diagnosis #Management #Orthopedics
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
stabilizes forearm and ulnar ... deviates the wrist ... pollicis longus and extensor ... pollicis brevis tendons ... #sports #msk #orthopedics
Example of 4th wrist extensor compartment tenosynovitis, note marked synovial hypertrophy and effusion in the tendon
Example of 4th wrist ... extensor compartment ... effusion in the tendon ... mskultrasound #wrist ... ultrasound #msk #pocus