13 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, ... orthopedics #clinical #video ... #physicalexam
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
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
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 ... #physicalexam #
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 ... #Management #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... associated injuries: Carpal ... injury • ED Management ... #Carpal #Radiology ... #XRay #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 ... #hand #PhysicalExam ... #clinical #video
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 #
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
stabilizes forearm and ulnar ... deviates the wrist ... pollicis longus and extensor ... Tenosynovitis #clinical #video ... #physicalexam #
Ulnar Styloid Tenosynovitis Effusion Milking in Rheumatoid Arthritis

How to demonstrate tenosynovitis- milk it to increase pressure
Ulnar Styloid Tenosynovitis ... arthritis often has extensor ... carpi ulnaris involvement ... Arthritis #clinical #video ... #physicalexam