33 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 ... distal to distal ulna ... , pain with wrist ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... fracture, median nerve ... injury • ED ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... onto outstretched hand ... box, pain with wrist ... #Radiology #XRay ... #Orthopedics #Sports
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 ... #orthopedics #clinical ... #video #physicalexam
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 ... spared in this injury ... Carpal Tunnel Syndrome
Median Nerve Injury and Anhidrosis
Note dry skin that precisely matches a median nerve distribution (spares ulnar
Median Nerve Injury ... distribution (spares ... ulnar innervated ... wounds on volar wrist ... #Clinical #Photo
Froment's Sign - Ulnar Nerve Injury

Patients with compromise of the ulnar nerve will not be able
Nerve Injury ... #Nerve #Injury ... #Hand #PhysicalExam ... #clinical #video ... #sports #msk #orthopedics
Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome. 
Fully flex wrists and
Fully flex wrists ... surfaces of hands ... Tunnel #Syndrome #Wrist ... #PhysicalExam #clinical ... #video #sports
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
Left Wrist Drop ... Examination Left hand ... #PhysicalExam #clinical ... #video #orthopedics ... #msk #sports #neurology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
onto outstretched hand ... variable gross wrist ... fracture, median nerve ... injury, acute carpal ... Distal #Radiology #XRay