12 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... , pain with wrist ... flexion and extension ... #XRay #Diagnosis
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
Common Hand Fractures ... of extensor tendon ... thumb injury to ulnar ... #Radiology #Wrist ... #differential #diagnosis
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... slightly extended, and ... when ulnar deviation ... extensors (ECU, ... clinical #video #physicalexam
Ulnar Styloid Tenosynovitis Effusion Milking in Rheumatoid Arthritis

How to demonstrate tenosynovitis- milk it to increase pressure
Ulnar Styloid Tenosynovitis ... increase pressure and ... arthritis often has extensor ... carpi ulnaris involvement ... clinical #video #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... aracteristic "claw hand ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... extension • ... associated injuries: Carpal ... #Carpal #Radiology ... #XRay #Diagnosis
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
de Quervain's Tenosynovitis ... ulnar deviates ... the wrist. ... extensor pollicis ... clinical #video #physicalexam
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... onto outstretched hand ... box, pain with wrist ... extension • Possible ... #Radiology #XRay
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
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 ... #carpi #ulnaris ... clinical #video #physicalexam