13 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
FracturesFinger ... • Extension of wrist ... muscles of hand (finger ... adduction) OK Sign ... #Injury #UpperExtremities
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
finger - injury ... to ulnar collateral ... Terry thomas sign ... #XRay #Radiology ... #Wrist #differential
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... , pain with wrist ... #Wrist #Carpal ... #Radiology #XRay
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... , median nerve injury ... , acute carpal tunnel ... reduction using finger ... Distal #Radiology #XRay
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... fracture (scaphoid ... , median nerve injury ... #Carpal #Radiology ... #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... • Due to injury ... ("Terry Thomas sign ... box, pain with wrist ... #Radiology #XRay
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
anterior interosseous nerve ... can't make A-OK sign ... ), ligamentous injury ... brachial artery injury ... Posterior #Radiology #XRay
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... posterior interosseous nerve ... syndrome, ligamentous injury ... DC with orthopedic ... #Radiology #XRay
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
common elbow fracture ... anterior sail sign ... anterior interosseous nerve ... brachial artery injury ... #Radiology #XRay
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... , C8 (radial) Finger ... spared in this injury ... Carpal Tunnel Syndrome ... sensory #motor #arm #physicalexam