23 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
outstretched hand • Exam ... injury • ED Management ... Disposition: Pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
of the hand • Exam ... ulna, pain with wrist ... fractures • ED Management ... Discharge with orthopedic ... #Orthopedics #Sports
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
the most common orthopedic ... outstretched hand • Exam ... variable gross wrist ... injury) • ED Management ... XRay #Diagnosis #Management
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
outstretched hand • Exam ... box, pain with wrist ... follow-up with orthopedics ... #TerryThomas #Wrist ... #Orthopedics #Sports
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
outstretched hand • Exam ... swollen forearm and wrist ... pronation and at wrist ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
outstretched hand • Exam ... dislocation • ED Management ... Scaphoid #Fracture #Wrist ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Central Retinal Vein Occlusion (CRVO)
Clinical:
 • Sudden, painless, monocular loss of vision 
 • "Blood and
thunder" fundoscoplc exam ... Management: ... • Ophthalmology ... Clinical #Fundoscopy #Ophthalmology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
outstretched hand • Exam ... DC with orthopedic ... • Nonoperative managernent ... XRay #Diagnosis #Management ... #Orthopedics #Proximal
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fingertip) • Exam ... fracture • ED Management ... Discharge with orthpedic ... XRay #Diagnosis #Management ... #Hand #Orthopedics
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
outstretched hand • Exam ... fracture • ED Management ... Complex, pending orthopedic ... XRay #Diagnosis #Management ... #Orthopedics #Sports