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msk orthopedics diagnosis management radiology clinical sports radius carpal ultrasound wrist anesthesia forearm block brachial distal elbow injury nerve plexus
Anterior Shoulder Dislocation - ED Management The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... immobilizer • Ortho ... injury, difficult reduction ... Disposition: DC with ortho ... Anterior #Radiology #XRay
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 ... Posterior #Radiology #XRay
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... : Scapholunate dissociation ... , perilunate dislocation ... Thumb spica • Ortho ... Carpal #Radiology #XRay
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
" on lateral x-ray ... " on lateral x-ray ... injuries: Perilunate dislocation ... Splint: Volar • Ortho ... Carpal #Radiology #XRay
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 ... Carpal #Radiology #XRay
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
at an elbow x-ray ... injury, elbow dislocation ... Splint: Sling • Ortho ... Type I, DC with ortho ... Elbow #Radiology #XRay
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 ... Carpal #Radiology #XRay
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... the radial head dislocation ... I or Ill) • Ortho ... • If stable reduction ... Ulnar #Radiology #XRay
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... Digital block and reduction ... Finger splint • Ortho ... a concomitant fracture ... IPJoint #Radiology #XRay
Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
disruption on x-ray ... supination • Ortho ... Children: closed reduction ... Adults: closed reduction ... Distal #Radiology #XRay
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