10 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... • Exam: Tenderness ... • ED Management ... #Orthopedics #Sports ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... • Exam: Tenderness ... • ED Management ... XRay #Diagnosis #Management ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... • Exam: tenderness ... fracture (scaphoid ... #Wrist #Carpal ... #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... • Exam: swelling ... fracture • ED Management ... XRay #Diagnosis #Management ... #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
onto outstretched hand ... • Exam: Tenderness ... dislocation, scaphoid ... II-IV, pending orthopedic ... #Orthopedics #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... • Exam: Swelling ... injuries: Perilunate dislocation ... #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... onto outstretched hand ... • Exam: swollen ... elbow and forearm ... #MSK
Who to block and who not to block? Guidelines for Emergency Regional Anesthesiafor Trauma Orthopedic Injuries
Block
radius fracture • Hand ... shatt fracture • Elbow ... document detailed neurologic ... neurovascular injury or clinical ... #Management #Regional
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... Change in clinical ... Intraabdominal - Orthopedic ... events or death (CARP ... surgical management
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... imaging or serial exams ... Neurologic injuries ... trauma/vascular/orthopedic ... Posterior #Injury #msk