21 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
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 ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... extension • Possible ... #TerryThomas #Wrist ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... injury • ED Management ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
aspect of the wrist ... the elbow on a table ... flexion with the wrist ... #clinical #video ... #orthopedics #msk
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
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... Adduction - C7-T1 (ulnar ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis
Ulnar Compression Test - Ulnar Tunnel Syndrome

The ulnar compression test evaluates for ulnar tunnel syndrome.
Provide direct
tunnel or Guyon's canal ... Video via @open_michigan ... Tunnel #Syndrome #wrist ... PhysicalExam #clinical #video ... #sports #msk #orthopedics
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 ... Tendinitis #clinical #video ... #physicalexam #msk
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #MSK