13 results
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
base of the first metacarpal ... 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
commonly fractured carpal ... 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
4th and/or 5th metacarpal ... flexed 70-900 • Ortho ... Discharge home with orthopedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
base of the first metacarpal ... Thumb spica • Ortho ... home with close 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"
spacing between all carpal ... Thumb spica • Ortho ... follow-up with orthopedics ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Thumb spica • Ortho ... follow-up with Orthopedics ... follow-up with PCP or orthopedics ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... Sugar tong • Ortho ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... Dislocation #Wrist #Carpal
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
the most common orthopedic ... • Most common orthopedic ... injury, acute carpal ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
radiocapitellar lines), fat pads ... Posterior long arm • Ortho ... Type l, DC with ortho ... II-IV, pending orthopedic ... MH/CCF/CWRU EM
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... PIP joint • Ortho ... Discharge with orthpedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics