13 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Visible deformity, Tender ... Painful balottement test ... ANY WRIST FRACTURES ... #radiology #msk ... #orthopedics #diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... follow-up with orthopedics ... #TerryThomas #Wrist ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
: Scapholunate dissociation ... , perilunate dislocation ... #Wrist #Carpal ... #Radiology #XRay ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... injuries: Perilunate dislocation ... #Wrist #Carpal ... #Radiology #XRay ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... radial styloid fracture ... Disposition: Pending orthopedic ... #Radiology #XRay ... #Sports #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... forearm supination → wrist ... #ULNT2 #ULTT2 #clinical ... #physicalexam #sports ... #msk #orthopedics
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... forearm supination → wrist ... #ULNT1 #ULTT1 #clinical ... #physicalexam #sports ... #msk #orthopedics
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
ulnar deviates the wrist ... pollicis brevis tendons ... Tenosynovitis #clinical ... #physicalexam #sports ... #msk #orthopedics
Intraoperative Thompson Test - Assessing the Achilles’ tendon following a surgical repair for rupture. The calf
The clinician squeezes ... accessory muscles (eg ... physicalexam #surgery #msk ... #sports #clinical ... #ankle #orthopedics
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
tendon with the ... aspect of the wrist ... ulnaris #Tendinitis #clinical ... #physicalexam #msk ... #orthopedics #sports