Page 249 - 2026 SMOG

MUSCULOSKELETAL INJURY
AND PERIPHERAL NERVE ASSESSMENT
Upper Extremities
INJURY to Consider MOTOR Testing SENSATION Testing NERVE
Elbow Injury Index and Little Finger Little Finger Ulnar
Abduction
Wrist Fracture or Thenar Contraction Index Finger Median Distal
Dislocation with Opposition
Supracondylar Fracture of Index Tip Extension None Median, Anterior
Humerus Interoseous
Anterior Shoulder Elbow Flexion Radial Forearm Musculocutaneous
Dislocation
Distal Humeral Shaft, Thumb and First Dorsal Web Radial
Anterior Shoulder Finger-group Space
Dislocation Extension
Anterior Shoulder Deltoid Lateral Shoulder Axillary
Dislocation, Proximal
Humerus
Fracture
Lower Extremities
Pubic Rami Fractures Knee Extension Anterior Knee Femoral
Obturator Ring Fractures Hip Adduction Medial Thigh Obturator
Posterior Tibial Toe Flexion Sole of Foot Knee Dislocation
Fibular Neck Fracture, Ankle Eversion Lateral Dorsum Superficial Peroneal
Knee Dislocation of Foot
Fibular Neck Fracture, Ankle/Toe Dorsal 1st- Deep Peroneal
Compartment Syndrome Dorsiflexion 2nd Web Space
Posterior Hip Dislocation Plantar Flexion Foot Sciatic Nerve
Acetabular Fracture Hip Abduction Upper Buttocks Superior Gluteal
Acetabular Fracture Hip Extension Lower Buttocks Inferior Gluteal

Muscular Strength Grading
SCORE EXAM RESULTS
0 Total Paralysis
1 Palpable or Visible Contraction
2 Full Range of Motion Without Gravity
3 Full Range of Motion Against Gravity
4 Full Range of Motion, but Less than Normal Strength
5 Normal Strength
NT Not Testable

2026 Standard Medical Operating Guidelines (SMOG) • 241