9 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
• ED Management ... Splint: Volar • Ortho ... 1 week MH/CCF ... #Wrist #Carpal ... #Radiology #XRay
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Thumb spica • Ortho ... x-rays MH/CCF ... #Wrist #Carpal ... #Radiology #XRay ... #Diagnosis #Management
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... Thumb spica • Ortho ... 1 week MH/CCF ... #TerryThomas #Wrist ... #Radiology #XRay
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
fracture (scaphoid ... radial styloid fracture ... Sugar tong • Ortho ... repair MH/CCF ... #Carpal #Radiology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... injury, acute carpal ... injury) • ED Management ... Sugar tong • Ortho ... Colles #Distal #Radiology
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... supination • Ortho ... of DRUJ MH/CCF ... Radial #Distal #Radiology
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
- ED Management ... prophylactic antibiotic treatment ... flexed 70-900 • Ortho ... within I MH/CCF ... Thumb #Metacarpal #Radiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... joint needs to be clinically ... • ED Management ... PIP joint • Ortho ... 1 week MH/CCF
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... disease b) CHF ... Change in clinical ... one post op Cardiology ... events or death (CARP