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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Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
caused by disruption ... : Hyperflexion injury ... Discharge with orthpedic ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
name their own fingers ... - Inability to differentiate ... right and left, ... patient is still able ... Traumatic Brain Injury
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
Stress Test in LCL Injury ... able to perform ... complete rupture and ... #PhysicalExam #Sports ... #Orthopedics #Knee
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Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
Thomas' Test for Hip ... flexes at the knee and ... rises off the table ... clinical #video #sports ... #msk #orthopedics
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Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... Hyperextension injury ... reduction β€’ Splint: Finger ... Discharge with orthopedic ... #Orthopedics #MSK
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Sign) for ACL Injury ... 3rd of the calf and ... rises from the table ... #physicalexam #sports ... #msk #orthopedics
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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 ... reflex #clinical #hand ... physicalexam #msk #orthopedics ... #neurology #sports
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Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
of Hyporeflexia and ... Acute spinal cord injury ... in spinal cord injury ... #differential # ... diagnosis #table
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
, C8 (radial) Finger ... Supinator - C5, C6 β€’ Finger ... characteristic "waiter's tip ... aracteristic "claw hand ... spared in this injury
OK Sign - Interosseous Nerve Injury

Patients with compromise of anterior interosseous nerve will not be able
Interosseous Nerve Injury ... nerve will not be able ... #Finger #Hand # ... clinical #video #sports ... #msk #orthopedics
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