10 results
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet Finger Absence ... terminal extensor tendon ... Exam: Swollen and tender ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
of the extensor tendons ... ), mallet finger ... reduction • Splint: Finger ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
respirations HHS: Longer ... seizure) #Pathophys #EM ... #IM #Endo #DKA
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Median Nerve Tension ... Test (Upper-Limb ... wrist dorsiflexion/finger ... Median #Nerve #Tension ... physicalexam #sports #msk
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Median Nerve Tension ... Test (Upper-Limb ... wrist dorsiflexion/finger ... Median #Nerve #Tension ... physicalexam #sports #msk
Flexor Tenosynovitis on POCUS

Which of the following diagnoses does this clip best support?
Resolution: flexor tenosynovitis (majority
does this clip best ... around the flexor tendon ... patients index finger ... Tenosynovitis #POCUS #MSK ... clinical #ultrasound #Finger
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
Eichhoff's Test ... makes a fist with fingers ... Positive test = ... pollicis brevis tendons ... physicalexam #sports #msk
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Adjacent bursa • Tendon ... present both at rest ... -60 minutes or longer ... improves quickly with rest ... #Joint #Pain #MSK
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
, swollen, and tender ... pulp space of the finger ... Clubbing of the Fingers ... Transverse Linear ... GrepMed Recommended Text
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
(ECU) Synergy Test ... thumb and middle finger ... palpating the ECU tendon ... The test is positive ... #physicalexam #msk