11 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... box, pain with wrist ... extension • Possible ... #Radiology #XRay ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... , median nerve injury ... #Wrist #Carpal ... #Radiology #XRay ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
flexion and extension ... injuries: Perilunate dislocation ... #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
phalanx to enable extension ... phalanx to enable extension ... Hyperextension injury ... #XRay #Diagnosis ... #Orthopedics #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neuropathy Elbow ... extension → shoulder ... forearm supination → wrist ... dorsiflexion/finger extension ... ULTT2 #clinical #video
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... musculocutaneous) • Extension ... C7 (median) • Extension ... C8 (median) • Extension ... spared in this injury
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... dorsiflexion/finger extension ... external rotation → elbow ... extension → neck ... ULTT1 #clinical #video
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
Extensor Carpi Ulnaris ... palpating the ECU tendon ... aspect of the wrist ... #carpi #ulnaris ... #physicalexam #msk
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
Extensor Carpi Ulnaris ... Carpi Ulnaris ( ... extends from the elbow ... #Carpi #Ulnaris ... #msk
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
normally elicits elbow ... extension and wrist ... Video by Mujtaba ... #Test #Reflex #neurology ... #orthopedics #msk