12 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... flexion and extension ... #XRay #Diagnosis ... #Orthopedics #Sports ... #MSK
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... to ulnar collateral ... Terry thomas sign ... #Radiology #Wrist ... #differential #diagnosis
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Fractures • Extension ... of wrist & MCP ... adduction) OK Sign ... #Injury #UpperExtremities ... #diagnosis #neurology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... extension • Possible ... #Radiology #XRay ... #Orthopedics #Sports ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... fracture, median nerve ... injury • ED ... #XRay #Diagnosis ... #MSK
Froment's Sign - Ulnar Nerve Injury

Patients with compromise of the ulnar nerve will not be able
Ulnar Nerve Injury ... Video via @open_michigan ... #Ulnar #Nerve # ... #clinical #video ... #sports #msk #orthopedics
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... spared in this injury ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
Extensor Carpi Ulnaris ... along the dorsal ulnar ... aspect of the wrist ... #physicalexam #msk ... #orthopedics #sports
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... fracture, median nerve ... injury, acute carpal ... Distal #Radiology #XRay ... #Orthopedics #MSK
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Stimulation of nerve ... Swelling notable on Xray ... boggy" joints, esp carpal ... Boutonniere's ulnar ... #symptoms #diagnosis