13 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... articulates with the distal ... nerve injury • ED ... Disposition: Pending orthopedic ... #Carpal #Radiology
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
pain with wrist ... fractures • ED ... Discharge with orthopedic ... Triquetrum #Fracture #Wrist ... #Carpal #Radiology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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Distal Radius Fracture ... Distal radius ... variable gross wrist ... ligament injury) • ED ... #Radiology #XRay
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Amsterdam Wrist ... likelihood of wrist ... after any trauma DISTAL ... radius #fracture #radiology ... #msk #orthopedics
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... injuries: Rare • ED ... #Radiology #XRay ... Diagnosis #Management #Orthopedics
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... associated injuries: distal ... dislocation • ED ... #TerryThomas #Wrist ... Scaphoid #Carpal #Radiology
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture on Wrist ... splinted in the ED ... prompt outpatient orthopedics ... Fracture #WristXRay #Radiology ... #MSK #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... dislocation • ED ... follow-up with Orthopedics ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... Avulsion fracture • ED ... Discharge with orthpedic ... Mallet #Finger #Radiology ... Management #Hand #Orthopedics
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
to the dorsal distal ... to the palmar distal ... extensor tendon) • ED ... Discharge with orthopedic ... Management #Hand #Orthopedics