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msk diagnosis orthopedics xray sports carpal wrist clinical dissociation forearm hand head hemarthrosis humerus injuries interphalangeal ipjoint joint monteggia pediatrics
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... anterior sail sign ... , elbow dislocation ... #Radiology #XRay
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... artery injury ... + radial head fracture ... • ED Management ... #Radiology #XRay
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... • Due to injury ... injuries: distal radius ... MH/CCF/CWRU EM Res ... Scaphoid #Carpal #Radiology
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
head dislocation ... Exam: swollen elbow ... syndrome, ligamentous injury ... (LCL) • ED Management ... Forearm #Ulnar #Radiology
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... styloid fracture ... , median nerve injury ... • ED Management ... Wrist #Carpal #Radiology
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
common elbow fracture ... anterior sail sign ... capitellum (age 1), radial ... brachial artery injury ... #Radiology #XRay
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... injuries: Perilunate dislocation ... , distal radius ... MH/CCF/CWRU EM Res ... Wrist #Carpal #Radiology
Pediatric Elbow Injuries - Elbow Xrays Check the fat pads on the lateral projection: 1. A displaced anterior
Pediatric Elbow ... fat pad (sail sign ... a significant injury ... head dislocation ... Injuries #Xrays #Radiology
Radial Head Elbow Fracture with displaced Fat Pads Intra-Articular Fracture of the Elbow with displaced fat pads
Radial Head Elbow ... intra-articular injury ... called the “Sail sign ... #Elbow #Fracture ... trauma #clinical #radiology
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
ligaments (prevent radial ... Hyperextension injury ... tendon) • ED Management ... MH/CCF/CWRU EM Res ... #IPJoint #Radiology
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