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Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries Rock - Median Nerve •
(4%), Radius & Ulnar ... • Extension of wrist ... (2%), Radius & Ulna ... Small muscles of hand ... (5%), Radius & Ulna
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Motor Function Shoulder ... Pronation - C7, C8 Wrist ... aracteristic "claw hand ... Anterior Shoulder ... sensory #motor #arm #physicalexam
Modified Allen's Test - Collateral Hand Circulation - Apply pressure to the radial and ulnar arteries - Release
Test - Collateral Hand ... ulnar arteries ... - Color should ... return to the hand ... #circulation #physicalexam
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 Hand Nerve Injuries - Common Presentations • Wrist Drop - Radial Nerve Injury • Claw Hand
Hand Nerve Injuries ... Presentations • Wrist ... Injury • Claw Hand ... - Ulnar Nerve Injury ... By @rev.med #Hand
Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial-ulnar ... wrist, limited ... at wrist • Possible ... injuries: Rare • ED Management ... XRay #Diagnosis #Management
Ulnar Fovea Sign Test for Fovea Disruption Useful for patients with pain along the ulnar aspect of
Ulnar Fovea Sign ... aspect of the wrist ... flexion with the wrist ... Fovea #Sign #Test #wrist ... clinical #video #physicalexam
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 Midcarpal Instability (MCI) of the Wrist Intrinsic Midcarpal Instability Usually affects young, hypermobile patients. It is due to progressive
Instability (MCI) of the Wrist ... slightly extended, and ... when ulnar deviation ... of the wrist is ... clinical #video #physicalexam
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 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
Innervation of Muscles Shoulder ... Axillary Nerve Shoulder ... Radial Nerve Wrist ... Fingers Abduction T1 Ulnar
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
distal to distal ulna ... , pain with wrist ... distal radius or ulna ... fractures • ED Management ... Triquetrum #Fracture #Wrist
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... capitate ("apple") should ... tea cup") which should ... injury • ED Management ... XRay #Diagnosis #Management
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