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diagnosis management radiology xray sports dislocation wrist hand elbow scaphoid anterior finger forearm interphalangeal ipjoint metacarpal monteggia perilunate posterior proximal
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... immobilize • Splint: Thumb ... spica • Ortho ... MH/CCF/CWRU EM ... #Sports #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
immobilize • Splint: Thumb ... spica • Ortho ... follow-up with orthopedics ... MH/CCF/CWRU EM ... #Sports #MSK
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... Splint: Volar • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... #Sports #MSK
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... most common major joint ... Simple, DC with ortho ... MH/CCF/CWRU EM ... #Sports #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
of a fracture does ... needs to be clinically ... • Ortho consult ... MH/CCF/CWRU EM ... #MSK
ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
carpometacarpal joint ... spica • Ortho ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics ... #MSK
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
extensor tendon), mallet ... Finger splint • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
fracture (scaphoid ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal ... #Sports #MSK
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
distal radioulnar joint ... injury, elbow dislocation ... Type I, DC with ortho ... MH/CCF/CWRU EM ... #MSK
Anterior Shoulder Dislocation - ED Management The shoulder is the most commonly dislocated major joint, 95% of
dislocated major joint ... Most common major joint ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics ... #Sports #MSK
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