12 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... Thumb spica • Ortho ... Disposition: Discharge, follow-up ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Perilunate Dislocation ... On lateral wrist ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Thumb spica • Ortho ... known fracture, follow-up ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... Splint: Volar • Ortho ... with orthopedic follow-up ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
immobilizer • Ortho ... Disposition: DC with ortho ... follow-up within ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior long arm • Ortho ... Simple, DC with ortho ... follow-up within ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... I or Ill) • Ortho ... with orthopedic followup ... MH/CCF/CWRU EM ... Orthopedics #Proximal #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
pronation and at wrist ... supination • Ortho ... DRUJ, always followed ... MH/CCF/CWRU EM ... #Orthopedics #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
injury, elbow dislocation ... Type I, DC with ortho ... follow-up within ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
, due to EDS and ... Finger splint • Ortho ... with orthopedic follow-up ... MH/CCF/CWRU EM ... #Orthopedics #MSK