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diagnosis msk orthopedics management xray radiology causes clinical differential sports ortho aliem carpal wrist classification forearm injury pocus posterior radial
Anterior Shoulder Dislocation - ED Management The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... Bankart lesions (5%, fracture ... procedural sedation and reduction ... injury, difficult reduction ... 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 ... procedural sedation and reduction ... MH/CCF/CWRU EM
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Scaphoid Fractures ... : Scapholunate dissociation ... , perilunate dislocation ... associated scapholunate dissociation ... MH/CCF/CWRU EM
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Scapholunate Dissociation ... distal radius fracture ... , scaphoid fracture ... unless associated fracture ... 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 ... Digital block and reduction ... a concomitant fracture ... 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 ... sedation and emergent reduction ... 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 ... common carpal bone fracture ... injuries: Perilunate dislocation ... 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 ... • If stable reduction ... MH/CCF/CWRU EM
Ultrasound-Guided Regional Nerve Blocks in Emergency Medicine: Interscalene Brachial Plexus Nerve Block Uses in the Emergency Department:
Department: Clavicle fracture ... and mid-humerus fracture ... , reduction of shoulder ... dislocation, drainage
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