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diagnosis management radiology xray sports wrist hand scaphoid colles dissociation distal interphalangeal ipjoint joint monteggia perilunate proximal radial radius scapholunate
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
Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •
injury, acute carpal ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Forearm #Radial ... #MSK
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... [cannot extend thumb ... I or Ill) • Ortho ... MH/CCF/CWRU EM ... #Proximal #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal ... #Sports #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Mallet Finger Absence ... joint needs to be clinically ... PIP joint • Ortho ... MH/CCF/CWRU EM ... #MSK
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
extensor tendon), mallet ... finger deformity ... splint • Ortho ... MH/CCF/CWRU EM ... #MSK
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