8 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
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
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
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
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
associated avulsion fractures ... fingertip) • Exam: Pain ... Digital block and reduction ... Discharge with orthopedic ... 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. ... DC with orthopedic
Ober's Test for TFL/ITB Inflammation

With the patient in the lateral position, affected side up.  The
leg towards the table ... horizontal without pain ... restricted or pain ... #physicalexam #sports ... #msk #orthopedics