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diagnosis msk orthopedics management radiology xray clinical ultrasound sports anesthesia differential hand carpal causes wrist aliem classification elbow forearm humerus
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
: Scapholunate dissociation ... , perilunate dislocation ... spica • Ortho consult ... associated scapholunate dissociation ... MH/CCF/CWRU EM
Hip Dislocation - Posterior dislocation (90%): Typically presents with hip flexed and adducted; 5-15% of posterior
Hip Dislocation ... - Posterior dislocation ... a femoral head fracture ... Anterior dislocation ... rotated #Dagnosis #EM
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow Dislocation ... , 80% of elbow dislocations ... , complex = fracture ... arm • Ortho consult ... MH/CCF/CWRU EM
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
distal radius fracture ... , scaphoid fracture ... spica • Ortho consult ... unless associated fracture ... MH/CCF/CWRU EM
Anterior Shoulder Dislocation - ED Management The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... Bankart lesions (5%, fracture ... immobilizer • Ortho consult ... : No (unless fracture ... MH/CCF/CWRU EM
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Triquetral Fracture ... most commonly fractured ... injuries: Perilunate dislocation ... Volar • Ortho consult ... MH/CCF/CWRU EM
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... injuries: Avulsion fracture ... splint • Ortho consult ... a concomitant fracture ... MH/CCF/CWRU EM
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... injury, elbow dislocation ... Sling • Ortho consult ... MH/CCF/CWRU EM
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Perilunate Dislocation ... injuries: Carpal fracture ... radial styloid fracture ... tong • Ortho consult ... MH/CCF/CWRU EM
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Monteggia Fracture ... with radial head dislocation ... the radial head dislocation ... Ill) • Ortho consult ... MH/CCF/CWRU EM
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