47 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
wrist flexion and extension ... Splint: Volar • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
pain with wrist extension ... Thumb spica • Ortho ... follow-up with orthopedics ... MH/CCF/CWRU EM ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
pain with wrist extension ... associated injuries: Carpal ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Sports #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 ... follow-up with PCP or orthopedics ... MH/CCF/CWRU EM ... #Sports #MSK
Epicondylitis - Lateral: Focal epicondyle tenderness, decreased grip strength, pain with resisted wrist extension. Medial: Focal
resisted wrist extension ... #Diagnosis #EM # ... Ortho #Sports #Epicondylitis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet finger, the extension ... PIP joint • Ortho ... Discharge with orthpedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics
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
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
phalanx to enable extension ... Finger splint • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior long arm • Ortho ... Simple, DC with ortho ... Complex, pending orthopedic ... MH/CCF/CWRU EM ... #Sports #MSK
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... contraction of the wrist extensors ... ECRB) The distal carpal ... Instability #Wrist #msk #orthopedics ... clinical #video #physicalexam