10 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, ... pain with wrist ... consult: No • Disposition ... MH/CCF/CWRU EM ... Triquetrum #Fracture #Wrist
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... articulates with the distal ... , median nerve injury ... MH/CCF/CWRU EM ... Carpal #Radiology #XRay
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Distal radius ... variable gross wrist ... or Barton • Disposition ... MH/CCF/CWRU EM ... #Radiology #XRay
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... consult: Yes • Disposition ... MH/CCF/CWRU EM ... #Radiology #XRay
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... box, pain with wrist ... associated injuries: distal ... MH/CCF/CWRU EM ... Carpal #Radiology #XRay
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
at an elbow x-ray ... olecranon fracture, distal ... Types II-IV • Disposition ... MH/CCF/CWRU EM ... Elbow #Radiology #XRay
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... extensor tendon distal ... : Hyperflexion injury ... MH/CCF/CWRU EM ... Finger #Radiology #XRay
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... dissociation) • Disposition ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... Carpal #Radiology #XRay
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
to the dorsal distal ... Hyperextension injury ... unstable) • Disposition ... MH/CCF/CWRU EM ... IPJoint #Radiology #XRay
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Vital signs: BP ... This patient’s clinical ... exam findings and clinical