14 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... anatomic snuff box, pain ... ED Management: Pain ... #Sports #MSK
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
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 ... Complex, pending orthopedic ... #Sports #MSK
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 ... #Sports #MSK
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
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. ... #Proximal #MSK
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 ... #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 ... Management #Hand #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 ... #MSK
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 ... #MSK