14 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 ... onto outstretched hand ... 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 ... onto outstretched hand ... , elbow dislocation ... #Radiology #XRay ... #Diagnosis #Management
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... onto outstretched hand ... brachial artery injury ... #Humerus #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
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
onto outstretched hand ... Exam: swollen elbow ... syndrome, ligamentous injury ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... aracteristic "claw hand ... spared in this injury ... Anterior Shoulder Dislocation ... Dermatomes #Myotomes #diagnosis
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
fat pad (sail sign ... a significant injury ... a radial head dislocation ... Injuries #Xrays #Radiology ... peds #Pediatrics #clinical
The Neurological Evaluation of a Comatose Patient

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