40 results
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Instability (MCI) of the Wrist ... extended, and when ulnar ... extensors (ECU, ... #msk #orthopedics ... #clinical #video
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 #orthopedics
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 ... #Orthopedics #Sports
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 ... to Psoas Hip Extension ... MuscleGroups #MSK #Orthopedics
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Fracture of proximal ulnar ... Peak age 4-10 • Ulna ... • If stable ... DC with orthopedic ... #Orthopedics #Proximal
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... injury • ED Management ... Disposition: Pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports
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 ... injuries: Rare • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
prevent radial and ulnar ... tendon) • ED Management ... Discharge with orthopedic ... XRay #Diagnosis #Management ... #Hand #Orthopedics
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 ... #sports #msk #orthopedics
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... extension • Possible ... follow-up with orthopedics ... #TerryThomas #Wrist ... #Orthopedics #Sports