128 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... Bankart lesions (5%, fracture ... immobilizer • Ortho ... injury, difficult reduction ... Disposition: DC with ortho
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow Dislocation ... , complex = fracture ... procedural sedation and reduction ... Posterior long arm • Ortho ... Simple, DC with ortho
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Perilunate Dislocation ... injuries: Carpal fracture ... radial styloid fracture ... sedation and emergent reduction ... Sugar tong • Ortho
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... injuries: Avulsion fracture ... Digital block and reduction ... Finger splint • Ortho ... a concomitant fracture
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Monteggia Fracture ... with radial head dislocation ... the radial head dislocation ... I or Ill) • Ortho ... • If stable reduction
Hip Dislocation - Posterior dislocation (90%): Typically presents with hip flexed and adducted; 5-15% of posterior
Hip Dislocation ... - Posterior dislocation ... a femoral head fracture ... Anterior dislocation ... #Dagnosis #EM #Ortho
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Scaphoid Fractures ... : Scapholunate dissociation ... , perilunate dislocation ... Thumb spica • Ortho ... associated scapholunate dissociation
Unstable Cervical Spine Fractures 
The common mnemonic “Jefferson Bit Off A Hangman’s Thumb,” is used to
Cervical Spine Fractures ... Jeffereson Fracture ... Bilateral Facet Dislocation ... Atlanto-occipital Dislocation ... Atlanto-axial Dislocation
Elbow Injuries - Elbow Dislocations - Anterior vs Posterior #Diagnosis #EM #Ortho #Elbow #Dislocation #Anterior #Posterior
Injuries - Elbow Dislocations ... Diagnosis #EM #Ortho ... #Elbow #Dislocation
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Scapholunate Dissociation ... distal radius fracture ... , scaphoid fracture ... Thumb spica • Ortho ... unless associated fracture