11 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Fractures • Extension ... (2%), Radius & Ulna ... (5%), Radius & Ulna ... UpperExtremities #diagnosis ... #neurology
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
T1 Ulnar Nerve ... to Psoas Hip Extension ... #MuscleGroups #MSK ... #Orthopedics #Neurology ... #Diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
prevent radial and ulnar ... reduction • Splint: Finger ... IPJoint #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
wrist dorsiflexion/finger ... #ULTT2 #clinical ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
wrist dorsiflexion/finger ... #ULTT1 #clinical ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
distal to distal ulna ... distal radius or ulna ... #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Peak age 4-10 • Ulna ... posterior interosseous nerve ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Proximal #MSK
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
, C8 (radial) Finger ... Abduction - C8-T1 (ulnar ... Anterior Shoulder Dislocation ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
pain with wrist extension ... fracture, median nerve ... Carpal #Radiology #XRay ... #Orthopedics #Sports ... #MSK
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Clinical ... • Weakness: Starts ... Guillain-Barre Diagnosis ... Albuminocytologic dissociation ... management #treatment #neurology