Exam Room Napkin

Tap a joint. Draw it as you talk.

Shoulderrotator cuff, bursitis, biceps
Shoulder instabilitydislocations, labrum, bone loss
Hiplabrum, the bumps, the outside
KneeACL, in 3D
Knee painnormal X-rays, what else hurts
Knee arthritiswear, treatment, replacement

Prototype v0.15 · shoulder, shoulder instability and hip drawn the way Dr. Raynor draws them, plus two talks on a 3D knee · nothing you draw is saved

Shoulder

ball socket collarbone acromion shoulder blade 2 around the back front full-thickness tear pulled away from the bone top rotator cuff = 4 tendons tendonitis irritated, not torn through tight little sheath (hurts right here) biceps starts on the labrum labrum, all the way around bursa arm raised rubs on that bone bad design anchors crisscross and dunk cut it, move it down here no more pistoning in the groove anterior front posterior back the socket, looking straight at it labrum biceps, right at 12 o'clock antero-inferior labral tear Bankart lesion: what happens when it dislocates equator SLAP (superior). Biceps tugs on it. Just hurts. posterior tear all the way down the back
Draw it
Socket
Show them

Hip

thigh bone ball socket pelvis cartilage arthritis worn away, bone on bone labrum the bumper on the edge of the socket labral tear torn off the socket edge deep socket the labrum gets bumped into sooner shallow socket, big labrum forces go across it the wrong way: dysplasia cam bump a big old bump of bone flex the hip up anchors made all out of suture bump shaved down extra room; crutches for a month capsule the lining that holds the hip an incision, so we can work in there closed back up with sutures no turning the leg out for three weeks abductors glute med and min abductor tear usually no surgery IT band pelvis to knee a balloon in between bursitis angry about its job the back a pinch up here can feel like hip pain
Draw it
Outside
Show them

Shoulder instability

rotator cuff muscles ligaments from the ball to the labrum socket looking down from above anterior front posterior back bone loss a tee with a chip in it cut here Latarjet bone moved here, two screws labrum the bumper on the edge labral tear torn off the edge of the socket anchor, made of suture labrum and ligaments back up ball Hill-Sachs dent the back of the ball hits the rim remplissage the cuff sewn down into the dent stretched out easier for it to come out loose ligaments the muscles make up for it HAGL lesion torn off the ball side. Rare. a golf ball on a tee a tee with a chip in it anterior front posterior back the socket, looking straight at it labrum goes all the way around bone loss the chip in the tee antero-inferior labral tear a Bankart lesion Latarjet bone block, two screws 1 2 3 anchors one, two, three and it tightens the ligaments 4 sometimes four some in the back if the tear extends back there
Draw it
Comes out
Fix it
Socket
Show them

Knee

Drag to spin · pinch to zoom
Building the knee…
Inside
Surgery
Side
Front
Meniscus
Show them

Knee pain

Drag to spin · pinch to zoom
Building the knee…
Front
Inside
Meniscus
Side
Show them
Dr. Brett Raynor

While you waitPatient education

What brings you in?

Hi, I’m Dr. Raynor. I’ll be in shortly. Pick the one closest to why you’re here, and I’ll walk you through it with the same drawings I use in the room.

Hi, I’m Dr. Raynor. Pick a topic, and I’ll walk you through it the way I explain it in the exam room, with the same drawings.

General education, not a diagnosis. Nothing you tap is saved.