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radiology management orthopedics xray metacarpal carpal scaphoid sports wrist bennett boxers contusion ctchest dislocation dissociation finger forearm interphalangeal ipjoint joint
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... spica • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
BENNETT FRACTURE Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
spica • Ortho ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management ... #MSK
ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
spica • Ortho ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management ... #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... immobilize • Splint: Thumb ... spica • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
[cannot extend thumb ... I or Ill) • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... Orthopedics #Proximal #MSK
Boxer's Fracture - ED Management Be sure to assess for wounds in patients with fractures of the
flexed 70-900 • Ortho ... MH/CCF/CWRU EM ... #Thumb #Metacarpal ... #Diagnosis #Management ... #MSK
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Finger splint • Ortho ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
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 ... clinical judgement
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