21 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
nerve injury • ED ... Management: Pain ... XRay #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... fractures • ED ... Management: Pain ... #Orthopedics #Sports ... #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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variable gross wrist ... ligament injury) • ED ... Management: Hematoma ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... dislocation • ED ... Management: Pain ... #TerryThomas #Wrist ... #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 ... WristXRay #Radiology #MSK ... #Orthopedics
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... injuries: Rare • ED ... Management: Pain ... #Orthopedics #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED ... Management: Pain ... Scaphoid #Fracture #Wrist ... XRay #Diagnosis #Management ... #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
injury (LCL) • ED ... Management: Pain ... DC with orthopedic ... #Orthopedics #Proximal ... #MSK
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 ... #Hand #Orthopedics ... #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
of motion • ED ... Management: Pain ... Disposition: Pending orthopedic ... #Hand #Orthopedics ... #MSK