12 results
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
when ulnar deviation ... extensors (ECU, ... row returns to its ... #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 ... distal radius or ulna ... Orthopedics #Sports #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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... extension • ... styloid fracture, median ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
1 Minute Neuro Hand Examination - "Check your Six" Mnemonic

A simple way to test the peripheral
Ask your patient ... finger salute- median ... /ulnar) 2) OK sign ... bobvarkey #Minute #Neurology ... #finger #Physicalexam
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... Tenderness to anatomic ... extension • Possible ... #Radiology #XRay ... Orthopedics #Sports #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Nerve Peripheral ... forearm supination → wrist ... clinical #video #physicalexam ... #sports #msk #orthopedics ... #neurology #ULNT
Oppositional Grasp Weakness in Carpal Tunnel Syndrome

Dysfunction of the six- Opposition weakness-in carpal tunnel syndrome with
weakness of the median ... nerve & Ulnar nerve ... Grasp #Weakness #Hand ... #neurology #orthopedics ... #msk #CTS
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Nerve Peripheral ... forearm supination → wrist ... clinical #video #physicalexam ... #sports #msk #orthopedics ... #neurology #ULNT
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 ... clinical #video #physicalexam ... #msk #orthopedics