25 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Flexion Paper ... Fractures • Extension ... of wrist & MCP ... at IP joint & flexion ... UpperExtremities #diagnosis
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
Wrist Extension ... Fingers Flexion ... T1 Ulnar Nerve ... Hip Flexion L2 Nerve ... to Psoas Hip Extension
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
prevent radial and ulnar ... tendons attaches ... tendon), mallet ... reduction • Splint: Finger ... Radiology #XRay #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 ... stabilizes forearm and ulnar ... pollicis brevis tendons ... #clinical #video ... #physicalexam #sports
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Cord Injury by Nerve ... C6 Dorsal Thumb Wrist ... Finger Flexion ... None T1 Ulnar Antecubital ... Anterior Medial Thigh Hip
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... tendon distal to ... Exam: Swollen and tender ... is fixed in flexion ... Radiology #XRay #Diagnosis
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 ... neck ipsilateral flexion ... #video #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
C8 Elbow: • Flexion ... Pronation - C7, C8 Wrist ... : • Flexion - ... , C8 (radial) Finger ... Dermatomes #Myotomes #diagnosis
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 ... neck ipsilateral flexion ... #video #physicalexam
Pyogenic Flexor Tenosynovitis

50-year-old man, kidney transplant, with post-transplant diabetes. Inpatient for pneumonia. It evolves with delirium,
complains of pain in his ... tenderness in the tendon ... confirmed the diagnosis ... #Flexor #Tenosynovitis ... Clinical #Photo