19 results
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 ... extensors (ECU, ... clinical #video #physicalexam
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... , pain with wrist ... flexion and extension ... #Carpal #Radiology ... #XRay #Diagnosis
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
of extensor tendon ... thumb injury to ulnar ... Fractures #XRay #Radiology ... #Wrist #differential ... #diagnosis
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
ulnar deviates ... extensor pollicis ... clinical #video #physicalexam ... #orthopedics #rheumatology ... #wrist
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
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... onto outstretched hand ... Tenderness to anatomic ... extension • Possible ... #Radiology #XRay
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
Extensor Carpi Ulnaris ... (ECU) Synergy Test ... along the dorsal ulnar ... aspect of the wrist ... clinical #video #physicalexam
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... extension • ... associated injuries: Carpal ... #Carpal #Radiology ... #XRay #Diagnosis
Ulnar Compression Test - Ulnar Tunnel Syndrome

The ulnar compression test evaluates for ulnar tunnel syndrome.
Provide direct
Test - Ulnar Tunnel ... compression test ... tunnel or Guyon's canal ... Tunnel #Syndrome #wrist ... #hand #PhysicalExam
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
tenderness to the anatomic ... onto outstretched hand ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #XRay #Diagnosis