16 results
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
- Pain along ulnar ... weeks Urgent orthopedics ... Compromise of growth plate ... Overlying wounds or signs ... #Boxers #Fracture
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... onto outstretched hand ... anatomic snuff box, pain ... ED Management: Pain
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... can't make A-OK sign ... Management: Simple, pain ... reduction; Complex ... , involve 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 ... ED Management: Pain
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... fingertip) • Exam: Pain ... reduction • Splint ... Discharge with orthopedic ... #Orthopedics #MSK
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. ... DC with orthopedic
Femoral Head Fracture: Pathogenesis and clinical findings
 • Posterior hip dislocation -> Impaction force from femoral
: Pathogenesis and ... Posterior hip dislocation ... • Anterior hip dislocation ... Leg • Shooting pains ... #symptoms #orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... injuries: Carpal fracture ... radial styloid fracture ... ED Management: Pain ... emergent reduction
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 ... #Orthopedics #MSK
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 ... Diagnosis #Management #Orthopedics