Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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11 results
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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) β€’ ED Management ... reduction using finger ... Colles #Distal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
: Hyperflexion injury ... #Radiology #XRay ... #Diagnosis #Management ... #Hand #Orthopedics ... #MSK
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Hoffmann's sign (finger ... indicating cervical injury ... clinical #hand #video ... #physicalexam #msk ... #orthopedics #neurology
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Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Axillary nerve injury ... neurovascular injury ... Dislocation #Anterior #Radiology ... #Orthopedics #Sports ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
tea cup") which should ... dorsally and no longer ... , median nerve injury ... Wrist #Carpal #Radiology ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
all carpal bones should ... β€’ Due to injury ... all carpal bones should ... Scaphoid #Carpal #Radiology ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury ... tendon), mallet finger ... Dislocation #IPJoint #Radiology ... #Hand #Orthopedics ... #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension β†’
wrist dorsiflexion/finger ... extension β†’ shoulder ... ULTT2 #clinical #video ... physicalexam #sports #msk ... #orthopedics #neurology
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Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction β†’
Neuropathy Shoulder ... wrist dorsiflexion/finger ... ULTT1 #clinical #video ... physicalexam #sports #msk ... #orthopedics #neurology
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Pectoralis Major Rupture Injury during Bench Press Exercise
CLINICAL: a rare injury patterns with typical sudden "tear/pop"
Likely need MRI. ... Inferior to operative management ... for repair by orthopedic ... #clinical #video ... #msk #orthopedics
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