10 results
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
epicondyle > radial ... anterior interosseous nerve ... + radial head fracture ... Complex, pending orthopedic ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... styloid fracture ... , median nerve injury ... Disposition: Pending orthopedic ... #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... head dislocation ... Exam: swollen elbow ... posterior interosseous nerve ... ), compartment syndrome
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
Inverted Supinator Test ... normally elicits elbow ... #Reflex #neurology ... #physicalexam #orthopedics ... #msk #sports #IRR
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Neuropathy Elbow ... forearm supination → wrist ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... Pronation - C7, C8 Wrist ... nerve in the radial ... Anterior Shoulder Dislocation ... Myotomes #diagnosis #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... external rotation → elbow ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Who to block and who not to block? Guidelines for Emergency Regional Anesthesiafor Trauma Orthopedic Injuries
Block
OK • Shoulder dislocation ... energy distal radius ... and dislocation ... • Elbow fracture ... document detailed neurologic
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... Neurologic injuries ... Common peroneal nerve ... injury (25%) TEST ... trauma/vascular/orthopedic
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Nerves: Brainstem ... flexed at the elbow ... #PhysicalExam #neurology