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diagnosis management msk radiology carpal wrist scaphoid anterior buprenorphine dissociation elbow forearm hand interphalangeal ipjoint joint medications methadone monteggia naltrexone
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... anatomic snuffbox, pain ... ED Management: Pain ... Carpal #Radiology #XRay ... #Sports #MSK
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
Management: Simple, pain ... procedural sedation and reduction ... Complex, pending orthopedic ... Posterior #Radiology #XRay ... #Sports #MSK
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... injuries: Perilunate dislocation ... ED Management: Pain ... Discharge with orthopedic ... #Sports #MSK
Anterior Shoulder Dislocation - ED Management The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... injury, difficult reduction ... Anterior #Radiology #XRay ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
anatomic snuff box, pain ... ED Management: Pain ... follow-up with orthopedics ... Carpal #Radiology #XRay ... #Sports #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... ED Management: Pain ... sedation and emergent reduction ... Carpal #Radiology #XRay ... #Sports #MSK
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... Digital block and reduction ... Discharge with orthopedic ... IPJoint #Radiology #XRay ... Management #Hand #Orthopedics
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... ED Management: Pain ... • If stable ... reduction. ... Ulnar #Radiology #XRay
Opioid Use Disorder Medications - Pharmacokinetics Buprenorphine is a partial mu-opioid receptor agonist with low intrinsic activity,
affinity, and a slow dissociation ... effects from illicit opiates ... the sublingual tablet ... Pharmacokinetics #Comparison ... #Table #Pharmacology
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