FALLS orthopedics

$Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •$

the most common orthopedic ... • Most common orthopedic ... • Mechanism: Fall ... Chauffer with orthopedic ... Barton, pending orthopedic

Subtrochanteric Femur Fracture: Pathogenesis and clinical findings
• Subtrochanteric region spans 5 cm distally from the

and low energy fall ... the femur ( e.g. fall ... . g. low level fall ... Fractures #msk #orthopedics

Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the

• Mechanism: fall ... Complex, involve orthopedics ... Complex, pending orthopedic ... Diagnosis #Management #Orthopedics

$Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck$

• Mechanism: Fall ... Discharge with orthopedic ... Diagnosis #Management #Orthopedics

Femoral Head Fracture: Pathogenesis and clinical findings
• Posterior hip dislocation -> Impaction force from femoral

femoral head • Falls ... signs #symptoms #orthopedics

Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which

• Mechanism: Fall ... Disposition: Pending orthopedic ... Diagnosis #Management #Orthopedics

$What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck - Common in$

/force trauma, falls ... weeks Urgent orthopedics ... Management #Referral #Orthopedics

Monteggia Fracture
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where

• Mechanism: Fall ... DC with orthopedic ... Diagnosis #Management #Orthopedics

Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of

compression and fall ... clinical #video #orthopedics

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Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"

• Mechanism: Fall ... follow-up with orthopedics ... Diagnosis #Management #Orthopedics

$Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected$

• Mechanism: Fall ... follow-up with Orthopedics ... follow-up with PCP or orthopedics ... Diagnosis #Management #Orthopedics

$Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at$

• Mechanism: Fall ... II-IV, pending orthopedic ... Diagnosis #Management #Orthopedics

$RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are$

• Mechanism: Fall ... II-IV, pending orthopedic ... Diagnosis #Management #Orthopedics

Anterior Shoulder Dislocation: Pathogenesis, clinical, and radiographic findings

Trauma, Fall on, outstretched arm, Overhead throwing => Abduction

findings Trauma, Fall ... symptoms #msk #orthopedics

Orthopedic Dislocations (Shoulder, Elbow and Hip) - Diagnosis and Management Summary
Shoulder Dislocation
• Fall on the

Orthopedic Dislocations ... Dislocation • Fall ... Dislocation • Fall ... axis of femur #Orthopedics

Galeazzi Fracture
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall

• Mechanism: Fall ... Diagnosis #Management #Orthopedics

The Strategies to Reduce Injuries and Develop Confidence in Elders Intervention: Falls Risk Factor Assessment and

Intervention: Falls ... Geriatrics #STRIDE #Fall

Ankle and Hindfoot Fractures - Quick Reference on Acute Orthopedic Management

#Management #Orthopedics #Ankle #Hindfoot #Fractures #Followup

Reference on Acute Orthopedic ... #Management #Orthopedics

Falls: Pathogenesis and Complications
Poly-pharmacy
Disorders affecting movement and balance
- Sensory deficits
- Neuromuscular degeneration/Cerebrovascular disease
-

Falls: Pathogenesis ... #Geriatrics #Falls

FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute

FALLS protocol - ... in shock The FALLS-protocol ... #Diagnosis #FALLS

Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment

Decision tree of FALLS-protocol ... understanding of the FALLS-protocol ... in Emergency #FALLS

Causes of Falls in the Elderly - Differential Diagnosis Algorithm
- Intrinsic Factors -
Presyncope / Syncope

Causes of Falls ... • Lighting #Falls

The cardiac cycle describes each heart beat, incorporating relaxation and contraction. Phase one describes diastole and

always high but falls ... after the first fall

PV Card: Knee Injuries | Quick Reference Guide - Orthopedic injuries are commonly managed in the

Reference Guide - Orthopedic ... of a series of orthopedic ... the Emergency Orthopedics

Anatomy #Bones #orthopedics

#Anatomy #MSK #orthopedics

Bone #Anatomy #orthopedics

Anatomy #Ligaments #orthopedics

Tenosynovitis #orthopedics

#Anatomy #MSK #orthopedics

Anatomy #sports #orthopedics

Anatomy #Bone #Orthopedics

Serratus Anterior Muscle
- Innervation Mnemonic: SALT - Serratus Anterior, Long Thoracic
- Scapular Muscle Insertions

By

Muscle #Anatomy #orthopedics

HipPain #Diagnosis #Orthopedics

A priority in this project was to appropriately stratify participants into a low, medium, or high-intensity

“Algorithm for Fall ... STEADI #Algorithm #Fall

Important Orthopedic Angles
• Calcaneum Fracture:
- Bohler's Angle

Important Orthopedic ... females= 17º±3 #Orthopedics

#msk #sports #orthopedics

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Common Types of Elbow Trauma - Comparison Table
- RADIAL HEAD SUBLUXATION (nursemaid's elbow)
-

#Diagnosis #Orthopedics

knee #anatomy #orthopedics

#MSK #anatomy #orthopedics

#Diagnosis #Orthopedics

Alarm Symptoms (FAILS

Hand Nerve Injuries - Common Presentations
• Wrist Drop - Radial Nerve Injury
• Claw Hand

Diagnosis #MSK #Orthopedics

$Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP$

Discharge with orthpedic ... Management #Hand #Orthopedics

Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally

Psychogenic • TIA • Falls

The 3 Fates of a Premature Atrial Complex
• PAC can be conducted with normal QRS

- A PAC that falls

Metacarpal Fractures - Emergency Department Management
Management - Fractures of the Metacarpal Head, Neck, Shaft and Base

#Management #Orthopedics

Stenosing Flexor Tenosynovitis or Trigger Finger on Physical Exam

Dr. Sergi Barrera @dr.sergibarrera

#TriggerFinger #Trigger #Finger #Stenosing #flexor

#physicalexam #orthopedics

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Foot Anatomy - Foot Bones
Mnemonic - Tiger Cubs Need MILC
T - Talus
C - Calcaneus
N - Navicular
M

Tarsals #podiatry #orthopedics

Vertebral Column - 6 Major Spine Segments
7 Cervical
12 Thoracic
5 Lumbar
5 Sacrum
3-5 Coccyx

By @rev.med

#Vertebral #Column #Spine #Segments

Spine #Segments #Orthopedics

Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis
Signs: painful abduction

Cuff #Syndrome #orthopedics

Supracondylar Elbow Fractures - Diagnosis, Radiographic Features and Management Guide

- By Dr. Sarah Edwards
@drsarahedwards

Management #Radiology #Orthopedics

Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later

Increased Sway, Step, Fall ... disease: tendency to fall

Kussmaul's Sign on Physical Exam

Kussmaul sign is a paradoxical rise in jugular venous pressure (JVP) on

the appropriate fall

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Dizziness and Vertigo Algorithm
Presyncope:
• Feels "faint" or like they are going to "pass out"
•

with frequent falls

Anatomic Snuff Box
• 3 'P' Muscles - Abductor Pollicis Longus, Extensor Pollicis Brevis, Extensor Pollicis

Anatomy #hand #orthopedics

$ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal$

Disposition: Pending orthopedic ... Management #Hand #Orthopedics

$Unicondylar proximal phalangeal fractures can be classified into four basic groups: oblique volar (I), long sagittal$

Radiology #MSK #Orthopedics

Tarsals #podiatry #orthopedics

Hand Bones Anatomy
Mnemonic: She Looks Too Pretty Try To Catch Her
S - Scaphoid
L - Looks
T

Metacarpals #Anatomy #Orthopedics

pathophysiology #orthopedics

Diagnosis #Radiology #Orthopedics

Odontoid Fractures
Type I [Stable] - Avulsion of the tip
Type II [Unstable] -

TypeIII #Trauma #Orthopedics

CATCH Predictors for Clinically Significant TBI
- GCS Less than 15 at 2 hours post

defined as MVC, fall ... ft or 5 stairs, fall

Scaphoid Fracture
Fractures can compromise the blood supply leading to avascular necrosis (AVN) and degenerative wrist disease.

Scaphoid #Fracture #orthopedics

Approach to suspected Heparin-Induced Thrombocytopenia (HIT)

• Suspected HIT Algorithm
• "4 T's" clinical probability score:

platelet count fall

PhysicalExam #Procedure #Orthopedics

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Wall Sign Bowel walls

parallel hyperechoic walls

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$Segond Fracture - Avulsion fracture of the proximal tibia below the articular surface. - Associated with anterior$

Fracture #Diagnosis #Orthopedics

Dupuytren's Contracture (Palmar Fibromatosis) on Physical Exam

#Dupuytrens #Contracture #Palmar #Fibromatosis #clinical #video #physicalexam #msk #hand #orthopedics

physicalexam #msk #hand #orthopedics

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Locations #Management #Orthopedics

physicalexam #sports #orthopedics

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clinical #video #orthopedics

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Lumbar Vertebrae Anatomy - Transverse and Lateral Views
Distinguishing Features:
1) Thick, large, kidney shaped body
2) Quadrilateral spinous

Anatomy #Vertebrae #Orthopedics

Pelvic Bone Anatomy (Lateral Hip View) and Gluteal Lines

By @rev.med

#Pelvic #Bone #Anatomy #Hip #Pelvis #Gluteal #Lines

Gluteal #Lines #Orthopedics

Split, Fractured Patella on Knee Exam

30 years old male, 10 years post motorbike accident. Split,

clinical #video #msk #orthopedics

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Undifferentiated critical congenital heart disease: Patterns of Presentation
Pink baby:
• Presents at 1-6 mo

FTT) after PVR falls

Knee Joint Anatomy - Ligaments

The knee joint ligaments are divided between two groups: the extracapsular (outside

Anatomy #Ligaments #orthopedics

$BENNETT FRACTURE Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base$

home with close orthopedic ... Management #Hand #Orthopedics

Stress Fracture: Pathogenesis and clinical findings
Abnormal biomechanics, Repetitive impact activities
=> Repetitive subthreshold mechanical loading
=> Bone strain
=>

StressFractures #msk #orthopedics

#PatientInfo #Orthopedics

Low Attenuation pattern
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of

areas without walls

Salter Harris Fractures - Pediatric Fractures of the Physis
SALTR Mnemonic

Salter Harris I
Straight through

with pediatric orthopedics ... with pediatric orthopedics ... Pediatrics #Peds #Orthopedics

#msk #sports #orthopedics

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Angle #Diagnosis #Orthopedics

Patellar Fracture Injury - Patellar Rupture caught in real-time during an MMA match.

#Patellar #Fracture #Injury #clinical

Rupture #sports #orthopedics

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Tarsal Tunnel - Medial Ankle Anatomy
Mnemonic: Tom, Dick And Nervous Harry
- Tom: Tibialis posterior tendon⁣⁣

Ankle #Anatomy #orthopedics

#Diagnosis #Orthopedics

Ranson's Criteria in Pancreatitis
At Admission:
- Age > 55 years
- WBCs >

- Hematocrit fall

A Flow Diagram for Resuscitation in Sepsis-induced Hypoperfusion

== Commentary (https://twitter.com/Ale_DC7/status/1092112204206346241) ==

This diagram is from '17 but

indiscriminately until the BP fails

Achilles Tendon Rupture in Slow Motion

Dr. Boris Gojanovic @DrSportSante

#Achilles #Tendon #Rupture #SlowMotion #clinical #Video #Sports #Mechanism

PhysicalExam #msk #orthopedics

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Physical Exam - Corrigan's Pulse

While the patient was sitting upright, the right carotid artery was visibly

volume and rapid fall

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Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as

volume and rapid fall

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#physicalexam #orthopedics

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Bilateral Biceps Tendon Rupture Injury

Bilateral bicipital rupture sustained during curling exercise.

#Biceps #Tendon #Rupture #Injury #Bilateral

#physicalexam #orthopedics

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ANKLE FRACTURES: Lauge-Hansen Classification
- Describes position of foot and mechanism of injury. Fx
progresses from Stage

#Diagnosis #Orthopedics

Abnormal Simmonds-Thompson Test (Positive) for Achilles Tendon Rupture

In this positive Simmonds-Thompson test, there is no plantar

Sports #msk #ankle #orthopedics

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Sulcus Sign on Shoulder Exam

Positive sulcus sign in a shoulder with multidirectional instability.

Downward force applied at

clinical #video #msk #orthopedics

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Positive J-Sign - Maltracking Patella on Knee Physical Exam

The J sign correlates with poor patellar tracking

clinical #video #msk #orthopedics

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Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms
Direct measurements
● Central venous pressure

● x descent: fall ... ● y descent: fall

Fungal Biomarkers: Comparing Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
• Polysaccharide cell wall component of many fungi
•

Aspergillus cell walls

$Digital clubbing found in a 64 year old woman seen for pathological patellar fracture after a$

after a trivial fall

Orthopedic Essentials - Spinal Trauma and Spine Classification
DENIS THREE COLUMN CONCEPT
Anterior column:

Orthopedic Essentials ... Classification #Orthopedics

Sedative-Hypnotic Visual Decision Aid

What would happen if 100 people over 60 years of age take sleeping

serious like a fall

Bilateral Congenital Hip Dysplasia in an almost 5 year old.
This gait was called “clumsy”. For years.

pediatrics #gait #orthopedics

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$Boxer's Fracture - ED Management Be sure to assess for wounds in patients with fractures of the$

Discharge home with orthopedic ... Management #Hand #Orthopedics

Lewy Body Dementia: Pathogenesis and Clinical Findings
Lewy Body Dementia is a sub-category of major or mild

: • Repeated falls

Valgus Stress Test in MCL Injury

In this video you can have a great visual of a

PhysicalExam #Sports #Orthopedics

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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round

emphysema: no walls

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