18 results
Hand Nerve Injuries - Common Presentations
 • Wrist Drop - Radial Nerve Injury
 • Claw Hand
Presentations • Wrist ... • Claw Hand - Ulnar ... Benediction - Median ... #Differential # ... Diagnosis #MSK #
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... extended, and when ulnar ... extensors (ECU, ... #msk #orthopedics ... 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 ... flexion and extension ... #Orthopedics #Sports ... #MSK
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
Radial Nerve Wrist ... Fingers Flexion C8 Median ... Fingers Abduction T1 Ulnar ... #MuscleGroups #MSK ... #Orthopedics #Neurology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... styloid fracture, median ... #Carpal #Radiology ... #Orthopedics #Sports ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Tenderness to anatomic ... box, pain with wrist ... extension • Possible ... #Orthopedics #Sports ... #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neuropathy Elbow extension ... forearm supination → wrist ... clinical #video #physicalexam ... #sports #msk #orthopedics ... #neurology #ULNT
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
C6 Dorsal Thumb Wrist ... Flexion None T1 Ulnar ... None L4 Medial ... NerveRoots #Levels #differential ... #diagnosis #Neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... rotation → elbow extension ... clinical #video #physicalexam ... #sports #msk #orthopedics ... #neurology #ULNT