54 results
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 ... distal radius or ulna ... Discharge with orthopedic
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
(4%), Radius & Ulnar ... Fractures • Extension ... of wrist & MCP ... (2%), Radius & Ulna ... UpperExtremities #diagnosis #neurology
Hand Nerve Injuries - Common Presentations
 • Wrist Drop - Radial Nerve Injury
 • Claw Hand
Presentations • Wrist ... • Claw Hand - Ulnar ... Nerve #Injuries #Anatomy ... Diagnosis #MSK #Orthopedics
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 ... follow-up with orthopedics ... #TerryThomas #Wrist
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
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 ... Extension C6 Radial ... Fingers Abduction T1 Ulnar ... MuscleGroups #MSK #Orthopedics ... #Neurology #Diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... associated injuries: Carpal ... Disposition: Pending orthopedic ... #Carpal #Radiology ... Diagnosis #Management #Orthopedics
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
aspect of the wrist ... flexion with the wrist ... Fovea #Sign #Test #wrist ... clinical #video #physicalexam ... #orthopedics #msk
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
tenderness to the anatomic ... Tenderness to anatomic ... follow-up with Orthopedics ... follow-up with PCP or orthopedics ... Scaphoid #Fracture #Wrist