21 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... nerve injury • ED ... Management: Pain ... #Carpal #Radiology ... #Orthopedics #Sports
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... fractures • ED ... Management: Pain ... #Carpal #Radiology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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onto outstretched hand ... variable gross wrist ... ligament injury) • ED ... Management: Hematoma ... Colles #Distal #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... box, pain with wrist ... dislocation • ED ... Management: Pain ... Scaphoid #Carpal #Radiology
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... wrist, limited ... injuries: Rare • ED ... Radial #Distal #Radiology ... #Orthopedics #MSK
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture on Wrist ... splinted in the ED ... prompt outpatient orthopedics ... Fracture #WristXRay #Radiology ... #MSK #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... dislocation • ED ... Management: Pain ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... injury (LCL) • ED ... DC with orthopedic ... Forearm #Ulnar #Radiology ... #Orthopedics #Proximal
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Avulsion fracture • ED ... Management: Pain ... Discharge with orthpedic ... Mallet #Finger #Radiology ... #Hand #Orthopedics
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
Response Management ... 2) Categorize and ... intervention (EGD ... Gastrointestinal #gastroenterology ... #Management #criticalcare