9 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Splint: Volar • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... Sugar tong • Ortho ... /CWRU EM Res @MetroHealth_EM ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... Thumb spica • Ortho ... /CWRU EM Res @MetroHealth_EM ... #Radiology #XRay ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... Thumb spica • Ortho ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... joint • Ortho ... /CWRU EM Res @MetroHealth_EM ... Mallet #Finger #Radiology ... #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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onto outstretched hand ... variable gross wrist ... injury, acute carpal ... Colles #Distal #Radiology ... #Orthopedics #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... supination • Ortho ... /CWRU EM Res @MetroHealth_EM ... Radial #Distal #Radiology ... #Orthopedics #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Finger splint • Ortho ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Dislocation #IPJoint #Radiology ... #MSK
Preoperative Risk Evaluation

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