14 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... central band of extensor ... to ulnar collateral ... #Radiology #Wrist ... #differential #diagnosis
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 ... #XRay #Diagnosis
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
(4%), Radius & Ulnar ... Fractures • Extension ... of wrist & MCP ... Scissors #Nerve #Injury ... UpperExtremities #diagnosis
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, ... ECRB) The distal carpal ... orthopedics #clinical #video
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... • Due to injury ... box, pain with wrist ... extension • Possible ... #Radiology #XRay
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... associated injuries: Carpal ... , median nerve injury ... #Carpal #Radiology ... #XRay #Diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... spared in this injury ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis
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
Spinal Cord Injury ... C6 Dorsal Thumb Wrist ... Flexion None T1 Ulnar ... #SpinalCord #Injury ... #differential #diagnosis
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Swelling notable on Xray ... boggy" joints, esp carpal ... Boutonniere's ulnar ... RheumatoidArthritis #RA #pathophysiology ... signs #symptoms #diagnosis
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
common orthopedic injury ... variable gross wrist ... , acute carpal tunnel ... Distal #Radiology #XRay ... #Diagnosis #Management