11 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 ... with wrist extension ... ED Management: Pain ... Scaphoid #Carpal #Radiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... injuries: Perilunate dislocation ... #Wrist #Carpal ... #Radiology #XRay
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, pain with wrist ... radial styloid fracture ... ED Management: Pain ... sedation and emergent reduction ... #Radiology #XRay
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
anatomic snuffbox, pain ... , perilunate dislocation ... ED Management: Pain ... #Wrist #Carpal ... #Radiology #XRay
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 ... #Posterior #Radiology
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
on Wrist X-Ray ... , and if plain films ... associated signs ... #WristXRay #Radiology ... #MSK #Orthopedics
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... pronation and at wrist ... ED Management: Pain ... Radial #Distal #Radiology ... Diagnosis #Management #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. ... Forearm #Ulnar #Radiology
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 ... Management #Hand #Orthopedics
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
- Pain along ulnar ... weeks Urgent orthopedics ... compromise - Certain radiologic ... Compromise of growth plate ... Overlying wounds or signs