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Madelung's deformity 90, 105 Magnetic resonance imaging (MRI) 8 knee investigation 215 neurological assessment 18 Malignant pustule (anthrax) 114 Mallet finger/thumb 111, 115 Mallet toe 280. 288 March fracture 280. 294, 305 Marian's disease 97 fingers 115 foot 286

McKenzie's sign 261 McMurray manoeuvre 233 MeMurray's osteotomy, hip 171 "Medial foot strain' 279 Medial tibial syndrome (shin splints) 247 Median nerve 13, 14, 74 compression 106 proximal to wrist 92 testing 99, 100 wrist 92 elbow 74 examination 25-27 motor division, testing 100 sensory distribution 24 Medical Research Council (MRC) motor/sensory levels scale 6 muscle contraction scale 5 Meniscus of knee 202, 203 bucket-handle tears 209 clicks 233

congenital discoid 208 cysts 209,217,234 degenerative lesions in adults 209 examination 232-234 lesions 208-209, 233 tears in young adults 209 Metacarpophalangeal joint movements 119, 121 nodular thickening 117 stability testing 121 Metaphyseal aclasis 239 Metastatic bone disease 69 hand 114 hip 199 spine 139 Metatarsal^) base, fifth 278 head, fifth 278 Metatarsal articular angle 304 Metatarsalgia anterior 279 Morton's 280, 294 Metatarsophalangeal joint osteoarthritis 278-279 silicone replacement 278 Methylene diphosphonate, technetium tagged 8

Midcarpal instability 102 Midpalmar infections 114,125 Midtarsal joint 273 Milwaukee brace 134,135 Mitchell operation 278 Monteggia fracture dislocation of elbow 86

Morquio-Brailsford's disease 97 Morton's metatarsalgia 280, 294 Motor distributions femoral nerve 29

peroneal nerve, common (lateral popliteal) 29

radial nerve 19 sciatic nerve 31

tibial nerve (medial popliteal) 30 ulnar nerve 21 Motor involvement back pain 132 joint examination 6 sciatic nerve lesions 31 thoracic motor root dysfunction 153

Movements ankle 263-264 assessment 4-5 back pain 149-150 cervical spine 39^10 elbow 79-80 foot 285,297-299 hand 119-123 hip 182-186 knee 222-224 range 4 shoulder 59-62 wrist 96

see also individual joints Mucous cysts 113 Mulder's sign 294 Muscle contraction strength 5 wasting 2, 3 Myositis ossificans 196 elbow 77, 83, 84 tibia 253 Myotomes ankle 27 elbow 15

examination 15-16,27 fingers 15. 16 hip 27 knee 27 shoulder 15 wrist 15 Myxoedema, hand 115

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