10 results
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
carpal bone. ... bone fracture ... Thumb spica • Ortho ... follow-up with PCP ... MH/CCF/CWRU EM
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
carpal bone. ... bone fracture ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... #Radiology #XRay
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
bones should be ... bones should be ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Radiology #XRay
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
posterior) and bone ... Splint: Posterior long ... arm • Ortho consult ... Type l, DC with ortho ... MH/CCF/CWRU EM
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... disruption (may be bony ... PIP joint • Ortho ... MH/CCF/CWRU EM ... Finger #Radiology #XRay
Radius Fracture on POCUS
Great example of the use of POCUS to diagnose a fracture of a
Radius Fracture ... of a long bone ... Could also do X-ray ... #POCUS #clinical ... #bone #msk #orthopedics
Sternal fracture on POCUS. 

It’s super easy! Place linear probe in long axis over point of
Sternal fracture ... linear probe in long ... disruption of bony ... Xray read as normal ... #Clinical #POCUS
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
orient in line on long ... Be wary of the bone ... disruption of bony ... completely replace x-ray ... POCUS #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... HgbA1c - if not done ... risk Chest X-ray ... unless prior heart/lung ... events or death (CARP
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This patient’s clinical ... exam findings and clinical ... Radiology #CTChest #Lung