8 results
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... scaphoid entering distally ... immobilize • Splint: Thumb ... spica • Ortho ... MH/CCF/CWRU EM
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
carpal bone. ... Splint: Volar • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
, distal radioulnar ... Splint: Sling • Ortho ... Type I, DC with ortho ... II-IV, pending orthopedic ... MH/CCF/CWRU EM
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
associated injuries: distal ... immobilize • Splint: Thumb ... spica • Ortho ... follow-up with orthopedics ... MH/CCF/CWRU EM
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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Distal Radius Fracture ... Distal radius ... injury, acute carpal ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... fracture (scaphoid ... radial styloid fracture ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... [cannot extend thumb ... I or Ill) • Ortho ... DC with orthopedic ... MH/CCF/CWRU EM
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 ... extensor tendon distal ... PIP joint • Ortho ... MH/CCF/CWRU EM