9 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal ... #Radiology #XRay
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal ... #Radiology #XRay
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 ... Radial #Distal #Radiology ... #XRay #Diagnosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
of a fracture does ... joint needs to be clinically ... PIP joint • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
radial styloid fracture ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Carpal #Radiology ... #XRay #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 ... #XRay #Diagnosis
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Colles #Distal #Radiology ... #XRay #Diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
extensor tendon), mallet ... Finger splint • Ortho ... MH/CCF/CWRU EM ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... A 39-year-old male ... African American male ... This patient’s clinical