9 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
injuries: distal radius ... fracture, scaphoid ... immobilize • Splint: Thumb ... spica • Ortho ... MH/CCF/CWRU EM
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... immobilize • Splint: Thumb ... spica • Ortho ... MH/CCF/CWRU EM ... XRay #Diagnosis #Management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
fracture (scaphoid ... injury • ED Management ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #Sports
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
distal radioulnar joint ... elbow dislocation, scaphoid ... Type I, DC with ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
joint disruption ... joint (DRUJ) ... supination • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
ligaments (prevent radial ... dislocation, due to EDS ... Finger splint • Ortho ... MH/CCF/CWRU EM ... #Hand #Orthopedics
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
carpometacarpal joint ... spica • Ortho ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... #Hand #Orthopedics
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... most common major joint ... dislocation + radial ... Simple, DC with ortho ... MH/CCF/CWRU EM
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... [cannot extend thumb ... I or Ill) • Ortho ... • If stable ... MH/CCF/CWRU EM