21 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
fracture in a patient ... DISTAL RADIUS FRACTURES ... Painful balottement test ... ANY WRIST FRACTURES ... #radiology #msk
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ED Management ... MH/CCF/CWRU EM ... #Wrist #Carpal ... #Radiology #XRay ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation • ED ... MH/CCF/CWRU EM ... #Wrist #Carpal ... #Radiology #XRay ... Orthopedics #Sports #MSK
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture ... on Wrist X-Ray ... splinted in the ED ... #WristXRay #Radiology ... #MSK #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
nerve injury • ED ... Management: Pain ... MH/CCF/CWRU EM ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
dislocation • ED ... Management: Pain ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology ... Orthopedics #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... • ED Management ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #Orthopedics #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
injuries: Rare • ED ... Management: Pain ... MH/CCF/CWRU EM ... Radial #Distal #Radiology ... #Orthopedics #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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variable gross wrist ... ligament injury) • ED ... MH/CCF/CWRU EM ... Colles #Distal #Radiology ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
dislocation, due to EDS ... Management: Digital ... MH/CCF/CWRU EM ... Dislocation #IPJoint #Radiology ... #Orthopedics #MSK