22 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Painful palmar flexion ... Painful balottement test ... radius #fracture #radiology ... #msk #orthopedics ... #diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, median nerve injury ... #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #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 ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... • Due to injury ... box, pain with wrist ... #XRay #Diagnosis ... #Sports #MSK
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 • Arrows identifying the characteristic edema-like signal
(save $$) Differential ... diagnosis: • Salter ... Harris injury: ... #clinical #mri ... #diagnosis #msk
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
Differential diagnosis ... hyperreflexia, multiple lesions ...  West Nile virus ... hyperreflexia, spinal cord lesion ... on MRI
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... Pathophysiology: • Severe injury ... Awareness • Injury ... neurology #comatose #diagnosis
Cortical Desmoid - MSK Radiology
Imaging Findings:
 • Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Desmoid - MSK Radiology ... related to avulsive injury ... Differential diagnosis ... Desmoid #clinical #mri ... #diagnosis #msk
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Axillary nerve injury ... , bony Bankart lesions ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Posterolateral Corner (PLC) Injury - Posterolateral Drawer Test
Injury to the posterolateral corner (PLC) is difficult to
Posterolateral Drawer Test ... is difficult to diagnose ... Most lesions of ... #PhysicalExam #Sports ... #Orthopedics #Knee