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Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive

The proximal carpal ... extensors (ECU, ... ECRB) The distal carpal ... #orthopedics #clinical ... #video #physicalexam

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 #Management

$Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck$

ulna, pain with wrist ... flexion and extension ... fractures • ED Management ... Triquetrum #Fracture #Wrist ... XRay #Diagnosis #Management

Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"

box, pain with wrist ... extension • Possible ... dislocation • ED Management ... #TerryThomas #Wrist ... XRay #Diagnosis #Management

Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome.
Fully flex wrists and

Fully flex wrists ... Video via @open_michigan ... Tunnel #Syndrome #Wrist ... #PhysicalExam #clinical ... #video #sports

Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome.
Fully flex wrists and

Phalen's Test for Carpal ... Fully flex wrists ... Tunnel #Syndrome #Wrist ... #PhysicalExam #clinical ... #video #sports

Nuchal Rigidity in Infantile Bacterial Meningitis

Flexion of the neck revealed nuchal rigidity. The patient was unable

hypertonic neck extensor ... From - Journal of Pediatrics ... #PhysicalExam #Clinical ... #Video #Peds #Pediatrics

Carpal Compression Test for Carpal Tunnel Syndrome

The carpal compression test evaluates for carpal tunnel syndrome.
Provide direct

volar side of the wrist ... Video via @open_michigan ... Tunnel #Syndrome #Wrist ... #PhysicalExam #clinical ... #video #sports

Infantile Spasms
Associated with Tuberous Sclerosis
1) Flexor spasms: Sudden flexion of neck, trunk, arms, and

spasms: Abrupt extension ... ) Mixed flexor-extensor ... of the legs Clinical ... EEG pattern Management ... #Spasms #Peds #Pediatrics

Positive Babinski Reflex with dorsiflexion of the big toe after stroking the sole of the foot.
This

This extensor response ... Positive #Peds #Pediatrics ... #Clinical #Video

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