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msk diagnosis management radiology xray wrist carpal ulnar clinical dissociation forearm fovea hand interphalangeal ipjoint joint monteggia perilunate physicalexam posterior
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
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
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... dislocation, scaphoid ... Management: Pain ... II-IV, pending orthopedic ... 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 ... #Sports #MSK
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... Exam: swollen elbow ... ED Management: Pain ... • If stable ... reduction.
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
Ulnar Fovea Sign Test for Fovea Disruption Useful for patients with pain along the ulnar aspect of
Ulnar Fovea Sign ... patients with pain ... on a table. ... #physicalexam #orthopedics ... #msk #sports
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