288 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... central band of extensor ... XRay #Radiology #Wrist
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Diagnosis Algorithm 4 tests ... Resisted shoulder extension ... after cross-arm test
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... , pain with wrist ... extension • ... injury • ED Management ... XRay #Diagnosis #Management
Infantile Spasms 
Associated with Tuberous Sclerosis 
1) Flexor spasms: Sudden flexion of neck, trunk, arms, and
abdominal muscles 2) Extensor ... spasms: Abrupt extension ... ) Mixed flexor-extensor ... and arms, and extension ... EEG pattern Management
Maudsley's Test for Lateral Epicondylitis ("Tennis Elbow")

With the wrist prone, the patient attempts extension of the
Maudsley's Test ... ") With the wrist ... patient attempts extension ... movement stresses the extensor ... The test is positive
Maudsley's Test for Lateral Epicondylitis ("Tennis Elbow")

With the wrist prone, resist extension of the 3rd digit,
Maudsley's Test ... ") With the wrist ... prone, resist extension ... movement stresses the extensor ... The test is positive
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... Increased Age, Wrist ... Painful balottement test
Epicondylitis - Lateral: Focal epicondyle tenderness, decreased grip strength, pain with resisted wrist extension. Medial: Focal
with resisted wrist ... extension. ... with resisted wrist
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Stroke Subtle extensor ... 9.2, LR- 0.09 Best ... test characteristics
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