11 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
immobilizer • Ortho ... Disposition: DC with ortho ... I week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Anterior #Radiology
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 ... #Posterior #Radiology
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... • ED Management ... Thumb spica • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
• ED Management ... Thumb spica • Ortho ... follow-up with PCP ... x-rays MH/CCF ... /CWRU EM Res @MetroHealth_EM
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injury • ED Management ... Sugar tong • Ortho ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Wrist #Carpal #Radiology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... Splint: Posterior long ... I or Ill) • Ortho ... repair MH/CCF ... /CWRU EM Res @MetroHealth_EM
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
tendon) • ED Management ... Finger splint • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #IPJoint #Radiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... injuries: Perilunate dislocation ... Splint: Volar • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
onto outstretched hand ... injury, elbow dislocation ... Splint: Sling • Ortho ... Type I, DC with ortho ... /CWRU EM Res @MetroHealth_EM
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
onto outstretched hand ... Splint: Posterior long ... arm • Ortho consult ... Type l, DC with ortho ... /CWRU EM Res @MetroHealth_EM