12 results
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
extended arm • Exam ... greater tuberosity fracture ... Bankart lesions (5%, fracture ... consult: No (unless fracture ... #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 ... Thumb spica • Ortho ... unless associated fracture
Traumatic Splenic Hematoma on LUQ FAST Exam

31 yo M. Minor blunt trauma from bicycle accident. No
No obvious injury ... Grade 4 spleen fracture ... Hematoma #Spleen #Fracture ... #Clinical #Ultrasound ... #Trauma #POCUS
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 ... #Orthopedics #Sports
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 ... fingertip) • Exam ... injuries: Avulsion fracture
Freiberg Infraction - MSK Radiology
Imaging Findings:
 • Sclerosis of the 2nd MT head with flattening of
Controversy: Subchondral fracture ... factors include: Short ... Plantar plate injury ... Freiberg #Infraction #foot ... #clinical #mri
Ultrasound Guided Brachial Plexus Nerve Block on POCUS
Mid-shaft humerus fracture, 10/10 pain, 350mcg fentanyl and no
Ultrasound Guided ... Nerve Block on POCUS ... Mid-shaft humerus fracture ... #Ultrasound #pain ... #anesthesia #clinical
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
Rib fractures on ... as a step off / fracture ... #Rib #fracture # ... POCUS #clinical ... #ultrasound #trauma
Positive FAST Exam Perihepatic Window

Multiple pts. with significant injuries from MVC. Young adult with femur fracture
Positive FAST Exam ... adult with femur fracture ... Grade V splenic injury ... Perihepatic #Positive #Clinical ... #POCUS #Ultrasound