8 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• ED Management ... Thumb spica • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Splint: Posterior long ... Simple, DC with ortho ... /CWRU EM Res @MetroHealth_EM ... #Elbow #Dislocation ... #Posterior #Radiology
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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Sugar tong • Ortho ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Wrist #Carpal ... #Radiology #XRay
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
dislocation, scaphoid ... Splint: Sling • Ortho ... Type I, DC with ortho ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... Splint: Volar • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Exam: swollen elbow ... Splint: Posterior long ... I or Ill) • Ortho ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM
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 ... #Humerus #Radiology