10 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
commonly fractured carpal ... Splint: Volar • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Thumb spica • Ortho ... follow-up with PCP ... x-rays MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
spacing between all carpal ... Thumb spica • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... Sugar tong • Ortho ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
Splint: Posterior long ... arm • Ortho consult ... Type l, DC with ortho ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
injury, acute carpal ... Sugar tong • Ortho ... /CWRU EM Res @MetroHealth_EM ... Colles #Distal #Radiology ... #XRay #Diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Splint: Posterior long ... supination • Ortho ... of DRUJ MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Splint: Posterior long ... arm • Ortho consult ... Simple, DC with ortho ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Splint: Posterior long ... I or Ill) • Ortho ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #XRay #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... one post op Cardiology ... risk Chest X-ray ... unless prior heart/lung ... events or death (CARP