9 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... with wrist flexion ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
ED Management: Pain ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal ... #Radiology #XRay
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, pain with wrist ... , sedation and emergent ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
with wrist extension ... ED Management: Pain ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Radiology #XRay
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... ED Management: Pain ... supination • Ortho ... MH/CCF/CWRU EM
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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variable gross wrist ... injury, acute carpal ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Distal #Radiology #XRay
Ultrasound Guided Brachial Plexus Nerve Block on POCUS
Mid-shaft humerus fracture, 10/10 pain, 350mcg fentanyl and no
Nerve Block on POCUS ... Mid-shaft humerus fracture ... group until us (EM ... ) and ortho document ... #anesthesia #clinical
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... ED Management: Pain ... PIP joint • Ortho ... MH/CCF/CWRU EM ... Finger #Radiology #XRay
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... breath and chest pain ... located chest pain ... This patient’s clinical