Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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management sports carpal fracture physicalexam forearm hand median nerve neurodynamic neurology peripheral scaphoid tension test ulnt carpi colles dissociation distal
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
XR, the capitate ... dorsally and no longer ... #Radiology #XRay ... #Diagnosis #Management ... #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #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 ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Complications include swan neck ... Discharge with orthopedic ... #IPJoint #Radiology ... #XRay #Diagnosis ... #MSK
Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •
variable gross wrist ... carpal tunnel syndrome ... Colles #Distal #Radiology ... #XRay #Diagnosis ... #MSK
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... #Radiology #XRay ... #Diagnosis #Management ... #Hand #Orthopedics ... #MSK
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... ), compartment syndrome ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... #Proximal #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2) To assess for Median Nerve Peripheral Neuropathy Elbow extension →
forearm supination → wrist ... dorsiflexion/finger ... shoulder abduction → neck ... #video #physicalexam ... #sports #msk #orthopedics
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 Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1) To assess for Median Nerve Peripheral Neuropathy Shoulder abduction →
forearm supination → wrist ... dorsiflexion/finger ... elbow extension → neck ... #video #physicalexam ... #sports #msk #orthopedics
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