11 results
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... ), ligamentous injury ... brachial artery injury ... #Radiology #XRay ... #Diagnosis #Management
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
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... radioulnar joint injury ... , elbow dislocation ... #Radiology #XRay ... #Diagnosis #Management
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 ... Middle Finger Elbow ... #differential #diagnosis ... #Neurology #Spine
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... brachial artery injury ... #Humerus #Radiology ... #XRay #Diagnosis
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... Exam: swollen elbow ... syndrome, ligamentous injury ... Forearm #Ulnar #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
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... spared in this injury ... Anterior Shoulder Dislocation ... #neurology #sensory ... #motor #arm #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Examine for signs ... flexed at the elbow ... caseyalbin #PhysicalExam ... #neurology #comatose