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msk management radiology xray sports carpal hand pathophysiology symptoms wrist elbow forearm metacarpal radius ankle anterior causes classification dissociation distal
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck - Common in
- Pain along ulnar ... Compromise of growth plate ... Overlying wounds or signs ... #Boxers #Fracture ... Hand #Metacarpal #Diagnosis
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... anatomic snuff box, pain ... ED Management: Pain
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... Management: Simple, pain ... procedural sedation and reduction ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... to distal ulna, pain ... injuries: Perilunate dislocation ... Radiology #XRay #Diagnosis
Femoral Head Fracture: Pathogenesis and clinical findings • Posterior hip dislocation -> Impaction force from femoral
Posterior hip dislocation ... • Anterior hip dislocation ... Leg • Shooting pains ... #msk #diagnosis ... #symptoms #orthopedics
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 ... Radiology #XRay #Diagnosis ... 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. ... Radiology #XRay #Diagnosis
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... radial styloid fracture ... ED Management: Pain ... sedation and emergent reduction ... Radiology #XRay #Diagnosis
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... injury, elbow dislocation ... ED Management: Pain ... II-IV, pending orthopedic ... Radiology #XRay #Diagnosis
Boxer's Fracture - ED Management Be sure to assess for wounds in patients with fractures of the
Boxer's Fracture ... ED Management: Pain ... open wound, must update ... MetroHealth_EM #Boxers ... Radiology #XRay #Diagnosis
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