11 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
tendon), mallet finger ... Digital block and reduction ... splint • Ortho ... Discharge with orthopedic ... #MSK
Finger dislocation and reduction

The patient suffered a 5th finger dislocation during a basketball game.

Dr Juan Laverde
Finger dislocation ... #dislocation #reduction ... #clinical #video ... #physicalexam #msk ... #orthopedics
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... PIP joint • Ortho ... Discharge with orthpedic ... Management #Hand #Orthopedics ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... pain with wrist extension ... sedation and emergent reduction ... Sugar tong • Ortho ... #Sports #MSK
Example of 4th wrist extensor compartment tenosynovitis, note marked synovial hypertrophy and effusion in the tendon
hypertrophy and effusion ... - MSK ultrasound ... education @mskultrasound ... tenosynovitis #clinical ... #ultrasound #msk
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
wrist dorsiflexion/finger ... abduction → neck ... #ULNT2 #ULTT2 #clinical ... physicalexam #sports #msk ... #orthopedics #neurology
Finger Fracture on POCUS 

50yo female presents with 5th finger pain after her dog pulled on
Finger Fracture ... pre-test prob for dislocation ... perform single post-reduction ... #POCUS #clinical ... #ultrasound #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Neuropathy Shoulder abduction ... wrist dorsiflexion/finger ... #ULNT1 #ULTT1 #clinical ... physicalexam #sports #msk ... #orthopedics #neurology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
SPONTANEOUS REDUCTION ... Dorsiflexion of foot, Toe extension ... trauma/vascular/orthopedic ... Rapid reduction ... Posterior #Injury #msk
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
perform active extension ... The diagnosis is clinical ... Ultrasound can show ... tenosynovitis #msk ... #orthopedics #rheumatology