14 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Fractures • Extension ... of wrist & MCP ... (2%), Radius & Ulna ... (5%), Radius & Ulna ... #neurology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
distal to distal ulna ... flexion and extension ... distal radius or ulna ... #XRay #Diagnosis ... #Orthopedics #Sports
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
forearm supination → wrist ... #ULTT2 #clinical ... #video #physicalexam ... #sports #msk #orthopedics ... #neurology #ULNT
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, ... #orthopedics #clinical ... #video #physicalexam
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... #ULTT1 #clinical ... #video #physicalexam ... #sports #msk #orthopedics ... #neurology #ULNT
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... Tenderness to anatomic ... box, pain with wrist ... extension • Possible ... #Orthopedics #Sports
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 ... #video #physicalexam ... #orthopedics #sports
Ulnar Compression Test - Ulnar Tunnel Syndrome

The ulnar compression test evaluates for ulnar tunnel syndrome.
Provide direct
tunnel or Guyon's canal ... Tunnel #Syndrome #wrist ... #hand #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
stabilizes forearm and ulnar ... pollicis longus and extensor ... Tenosynovitis #clinical ... #video #physicalexam ... #sports #msk #orthopedics