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msk orthopedics radiology diagnosis management carpal wrist dislocation elbow forearm bone contusion ctchest dissociation distal galeazzi humerus monteggia perilunate posterior
Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
disruption on x-ray ... Splint: Posterior long ... supination • Ortho ... MH/CCF/CWRU EM ... #Radiology #XRay
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dislocation, distal radius ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... Carpal #Radiology #XRay ... #Orthopedics #Sports
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
dislocation + radial ... Splint: Posterior long ... MH/CCF/CWRU EM ... Posterior #Radiology #XRay ... #Orthopedics #Sports
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
styloid fracture ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Carpal #Radiology #XRay ... #Orthopedics #Sports
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
injuries: distal radius ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... Carpal #Radiology #XRay ... #Orthopedics #Sports
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
capitellum (age 1), radial ... Splint: Posterior long ... arm • Ortho consult ... Type l, DC with ortho ... MH/CCF/CWRU EM
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... Splint: Posterior long ... I or Ill) • Ortho ... MH/CCF/CWRU EM ... Ulnar #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 ... #Fracture #POCUS ... #clinical #bone
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 Rib fractures on POCUS 1. look for a discontinuity at the site of pain and tenderness
validation beyond a clinical ... orient in line on long ... confirm in the short ... completely replace x-ray ... POCUS #clinical
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 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 ... Due to their short
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