13 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Axillary nerve injury ... neurovascular injury ... MH/CCF/CWRU EM Res ... #Anterior #Radiology ... #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... • Due to injury ... ("Terry Thomas sign ... MH/CCF/CWRU EM Res ... Scaphoid #Carpal #Radiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, median nerve injury ... Ortho consult: Yes ... MH/CCF/CWRU EM Res ... #Radiology #XRay ... #Diagnosis #Management
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
, neuropraxia (anterior ... can't make A-OK sign ... ), ligamentous injury ... #Posterior #Radiology ... #XRay #Diagnosis
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Spinal Cord Injury ... C6 Dorsal Thumb Wrist ... None T7-T12 See Dermatomes ... Abdominal Reflex L2 Anterior ... #differential #diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
spared in this injury ... Anterior Shoulder ... Dislocation - May ... #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
identified but anterior ... sail sign or posterior ... , elbow dislocation ... Fracture #Elbow #Radiology ... #XRay #Diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... injuries: Perilunate dislocation ... MH/CCF/CWRU EM Res ... #Carpal #Radiology ... #XRay #Diagnosis
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
shoulder dislocation ... capsuloligamentous injury ... GAGL): "Reverse J sign ... mri #clinical #Radiology ... #diagnosis #msk
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
sail sign or posterior ... can't make A-OK sign ... brachial artery injury ... Elbow #Humerus #Radiology ... #XRay #Diagnosis