8 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, ... ECRB) The distal carpal ... #msk #orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
functional deficit and arthritis ... , pain with wrist ... flexion and extension ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
stabilizes forearm and ulnar ... reproduction of patient's symptoms ... pollicis longus and extensor ... physicalexam #sports #msk ... #orthopedics #rheumatology
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
Extensor Carpi Ulnaris ... (ECU) Synergy Test ... aspect of the wrist ... #extensor #carpi ... #physicalexam #msk
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
Extensor Carpi Ulnaris ... Carpi Ulnaris (ECU ... What are the symptoms ... diagnosed? ... #msk
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... boggy" joints, esp carpal ... Boutonniere's ulnar ... pathophysiology #signs #symptoms ... #diagnosis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
or nerve root Symptoms ... present both at rest ... #Joint #Pain #MSK ... #rheumatology # ... #differential #diagnosis
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
knees, fingers, wrist ... frequent attacks • Arthritis ... tophi • Tophi on extensor ... Dual-energy CT → MSU ... management #treatment #rheumatology