21 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Fractures • Finger ... • Extension of wrist ... Small muscles of hand ... #Injury #UpperExtremities ... #diagnosis #neurology
Froment's Sign - Ulnar Nerve Injury

Patients with compromise of the ulnar nerve will not be able
Nerve Injury ... #Nerve #Injury ... #Hand #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... : Hyperflexion injury ... tender DIP joint ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
ulnar displacernent ... Hyperextension injury ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... , C8 (radial) Finger ... aracteristic "claw hand ... spared in this injury ... Dermatomes #Myotomes #diagnosis
Median Nerve Injury and Anhidrosis
Note dry skin that precisely matches a median nerve distribution (spares ulnar
Median Nerve Injury ... distribution (spares ... nerve or any tendons ... #Anhidrosis #Hand ... #Clinical #Photo
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
makes a fist with fingers ... ulnar deviates ... pollicis brevis tendons ... #video #physicalexam ... #sports #msk #orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... forearm supination → wrist ... dorsiflexion/finger ... #video #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 ... dorsiflexion/finger ... #video #physicalexam ... #sports #msk #orthopedics
OK Sign - Interosseous Nerve Injury

Patients with compromise of anterior interosseous nerve will not be able
Injury Patients ... #Injury #Finger ... #Hand #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics