8 results
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
Management: Pain control ... Thumb spica • Ortho ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Management: Pain control ... Splint: Volar • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Management: Pain control ... flexed 70-900 • Ortho ... Discharge home with orthopedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Management: Pain control ... Thumb spica • Ortho ... follow-up with orthopedics ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
Management: Pain control ... Thumb spica • Ortho ... home with close orthopedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Management: Pain control ... Thumb spica • Ortho ... follow-up with Orthopedics ... follow-up with PCP or orthopedics ... MH/CCF/CWRU EM
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... Management: Pain control ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Dislocation #Wrist #Carpal
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Management: Pain control ... I or Ill) • Ortho ... • If stable ... DC with orthopedic ... MH/CCF/CWRU EM