33 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate "apple" does ... dorsal wrist, pain ... ED Management: Pain ... #XRay #Diagnosis ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
of a fracture does ... ED Management: Pain ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #MSK
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
fracture, and if plain ... films are negative ... prompt outpatient orthopedics ... Fracture #WristXRay #Radiology ... #MSK #Orthopedics
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
location of olecranon relative ... Management: Simple, pain ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... ED Management: Pain ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ED Management: Pain ... • If stable ... DC with orthopedic ... #XRay #Diagnosis ... #Proximal #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
ED Management: Pain ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... Management #Hand #Orthopedics ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... anatomic snuff box, pain ... ED Management: Pain ... #XRay #Diagnosis ... #Sports #MSK
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Can also be dosed ... Can also be dosed ... No pharmacologic ... (Haldol) - No pharmacologic ... #CriticalCare #diagnosis
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
anatomic snuffbox, pain ... ED Management: Pain ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK