18 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
procedural sedation and reduction ... immobilizer • Ortho ... injury, difficult reduction ... Disposition: DC with ortho ... MH/CCF/CWRU EM
Hip Dislocation - Posterior dislocation (90%): Typically presents with hip flexed and adducted; 5-15% of posterior
Hip Dislocation ... - Posterior dislocation ... a femoral head fracture ... rotated #Dagnosis #EM ... #Ortho #Hip #Dislocation
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow Dislocation ... procedural sedation and reduction ... Posterior long arm • Ortho ... Simple, DC with ortho ... MH/CCF/CWRU EM
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... I or Ill) • Ortho ... • If stable reduction ... MH/CCF/CWRU EM ... #Forearm #Ulnar
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
: Scapholunate dissociation ... , perilunate dislocation ... Thumb spica • Ortho ... associated scapholunate dissociation ... MH/CCF/CWRU EM
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Exam: swollen forearm ... supination • Ortho ... Adults: closed reduction ... MH/CCF/CWRU EM ... #Forearm #Radius
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
distal radius fracture ... , scaphoid fracture ... Thumb spica • Ortho ... unless associated fracture ... MH/CCF/CWRU EM
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... radial styloid fracture ... sedation and emergent reduction ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Triquetral Fracture ... most commonly fractured ... injuries: Perilunate dislocation ... Splint: Volar • Ortho ... MH/CCF/CWRU EM
Ankle Fractures: Lauge-Hansen Classification - Pronation-Abduction (PAB) #Clinical #EM #Ortho #Ankle #Fracture #PronationAbduction #PAB #ALiEM
Ankle Fractures: ... Classification - Pronation-Abduction ... PAB) #Clinical #EM ... #Ortho #Ankle # ... Fracture #PronationAbduction