10 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
pain with wrist ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... #Carpal #Radiology ... #XRay #Diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Carpal #Radiology ... #XRay #Diagnosis
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 ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Radiology #XRay
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... supination • Ortho ... MH/CCF/CWRU EM ... #Radiology #XRay ... Diagnosis #Management #Orthopedics
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... associated injuries: distal ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... extensor tendon distal ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Management #Hand
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... onto outstretched hand ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
onto outstretched hand ... olecranon fracture, distal ... Type I, DC with ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Finger splint • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Vital signs: BP ... clinical judgement ... defaulting to a normal interpretation