14 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
X-Ray Mallet finger ... to the lateral extensor ... tendon Volar plate ... #XRay #Radiology ... #Wrist #differential
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
of a fracture does ... tendon distal to ... Exam: Swollen and tender ... #Radiology #XRay ... #MSK
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
fracture in a patient ... Visible deformity, Tender ... Visible deformity, Tender ... #radiology #msk ... #orthopedics #diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
finger deformity ... reduction • Splint: Finger ... Discharge with orthopedic ... Dislocation #IPJoint #Radiology ... #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... flexion and extension ... #Wrist #Carpal ... #Radiology #XRay ... #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
• Colles (90% "dinner ... variable gross wrist ... reduction using finger ... Colles #Distal #Radiology ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... extension • ... radial styloid fracture ... #Carpal #Radiology ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... extension • Possible ... #TerryThomas #Wrist ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Flexor Tenosynovitis on POCUS

Index finger including flexor tendon being viewed.  Note small fluid around the
Tenosynovitis on POCUS ... pain on passive extension ... Tenosynovitis #POCUS ... #MSK #clinical ... #radiology #finger
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
makes a fist with fingers ... pollicis longus and extensor ... pollicis brevis tendons ... physicalexam #sports #msk ... #orthopedics #rheumatology