24 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
X-Ray Mallet finger ... of extensor tendon ... thumb injury to ulnar ... #Wrist #differential ... #diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
ulnar displacernent ... ) • ED Management ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #Management #Hand
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... tender DIP joint ... #Radiology #XRay ... #Diagnosis #Management ... #Hand #Orthopedics
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... Pronation - C7, C8 Wrist ... , C8 (radial) Finger ... aracteristic "claw hand ... Dermatomes #Myotomes #diagnosis
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 ... Tenosynovitis #clinical ... #video #physicalexam
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neuropathy Elbow ... forearm supination → wrist ... dorsiflexion/finger ... #ULNT2 #ULTT2 #clinical ... #video #physicalexam
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
distal to distal ulna ... , pain with wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... dorsiflexion/finger ... external rotation → elbow ... #ULNT1 #ULTT1 #clinical ... #video #physicalexam
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
no longer sitting ... onto outstretched hand ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
middle finger with ... palpating the ECU tendon ... along the dorsal ulnar ... aspect of the wrist ... #video #physicalexam