11 results
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 ... #Sports #MSK
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
after any trauma DISTAL ... Painful balottement test ... ANY WRIST FRACTURES ... #radiology #msk ... #orthopedics #diagnosis
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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Distal Radius Fracture ... variable gross wrist ... carpal tunnel syndrome ... #Forearm #Radial ... #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Fracture of distal ... will be obvious; signs ... and wrist, limited ... Diagnosis #Management #Orthopedics ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... box, pain with wrist ... associated injuries: distal ... #Sports #MSK
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
Examiner stabilizes forearm ... ulnar deviates the wrist ... physicalexam #sports #msk ... #orthopedics #rheumatology ... #wrist
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Nerve Tension Test ... external rotation → forearm ... supination → wrist ... physicalexam #sports #msk ... #orthopedics #neurology
Who to block and who not to block? Guidelines for Emergency Regional Anesthesiafor Trauma Orthopedic Injuries
Block
• Low energy distal ... • Both bone forearm ... document detailed neurologic ... for compartment syndrome ... High emergency forearm
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Nerve Tension Test ... Shoulder abduction → forearm ... supination → wrist ... physicalexam #sports #msk ... #orthopedics #neurology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... based on normal distal ... nerve injury (25%) TEST ... trauma/vascular/orthopedic ... Posterior #Injury #msk