37 results
Stenosing Flexor Tenosynovitis or Trigger Finger on Physical Exam

Dr. Sergi Barrera @dr.sergibarrera

#TriggerFinger #Trigger #Finger #Stenosing #flexor
Stenosing #flexor #tendon ... tenosynovitis #msk ... #physicalexam #orthopedics ... #rheumatology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Sugar tong • Ortho ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... Exam: Swollen and tender ... PIP joint • Ortho ... MH/CCF/CWRU EM ... #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Splint: Volar • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... #Sports #MSK
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Amsterdam Wrist ... Visible deformity, Tender ... Visible deformity, Tender ... fracture #radiology #msk ... #orthopedics #diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #TerryThomas #Wrist ... #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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the most common orthopedic ... variable gross wrist ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Finger splint • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics ... #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
pronation and at wrist ... supination • Ortho ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Thumb spica • Ortho ... follow-up with Orthopedics ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... #Sports #MSK