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msk diagnosis orthopedics management dislocation carpal mri wrist anterior calcaneal calcaneus contusion ctchest dissociation elbow finger freiberg hand heel infraction
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
humerus; simple = no fracture ... , complex = fracture ... associated injuries: Fractures ... + radial head fracture ... coronoid process fracture
Anterior Shoulder Dislocation - ED Management The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... Bankart lesions (5%, fracture ... consult: No (unless fracture ... #XRay #Diagnosis ... #Orthopedics #Sports
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... distal radius fracture ... , scaphoid fracture ... unless associated fracture ... #XRay #Diagnosis
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... radial styloid fracture ... , median nerve injury ... Sugar tong • Ortho ... #XRay #Diagnosis
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... joint needs to be clinically ... : Hyperflexion injury ... injuries: Avulsion fracture ... #XRay #Diagnosis
Calcaneal Squeeze Test on Foot Examination The calcaneal squeeze test evaluates for calcaneal injury, such as a
Squeeze Test on Foot ... for calcaneal injury ... such as a stress fracture ... #PhysicalExam #clinical ... #video #sports
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 Freiberg Infraction - MSK Radiology Imaging Findings: • Sclerosis of the 2nd MT head with flattening of
Controversy: Subchondral fracture ... Plantar plate injury ... Intermetatarsal bursitis ... Freiberg #Infraction #foot ... #clinical #Radiology
Intermetatarsal Bursitis - MSK Radiology Imaging Findings: • T2-hyperintense fluid-like signal and T1-hypointense signal between the first
was for stress fracture ... Metatarsal stress fracture ... Plantar plate injury ... #foot #metatarsal ... #clinical #Radiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Rib Fractures Rib ... fractures, though ... is required to fracture ... a lateral rib fracture ... , 50% of rib fractures
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