47 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
fracture in a patient ... with wrist pain ... Painful balottement test ... ANY WRIST FRACTURES ... radiology #msk #orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... with wrist flexion ... ED Management: Pain ... Discharge with orthopedic ... #Wrist #Carpal
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
anatomic snuffbox, pain ... ED Management: Pain ... follow-up with Orthopedics ... follow-up with PCP or orthopedics ... #Wrist #Carpal
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture ... on Wrist X-Ray ... , and if plain films ... prompt outpatient orthopedics ... Radiology #MSK #Orthopedics
Scaphoid fracture - Proximal Pole - Wrist XRay
Proximal pole scaphoid fractures have poor healing potential
If an
Scaphoid fracture ... Proximal Pole - Wrist ... pole scaphoid fractures ... be visible on plain ... WristXRay #Radiology #Orthopedics
Illustrations showing elements of a shoulder assessment. Also included on a shoulder assessment would be determination
of a shoulder assessment ... on a shoulder assessment ... (In Speed's test ... Pain in the anterior ... #Tendinopathy #Impingement
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, pain with wrist ... injuries: Carpal fracture ... radial styloid fracture ... ED Management: Pain ... Disposition: Pending orthopedic
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Paper Scissors - Assessment ... Radius & Ulnar Fractures ... Humeral Shaft Fractures ... • Extension of wrist ... adduction) OK Sign - AIN
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
anatomic snuff box, pain ... with wrist extension ... ED Management: Pain ... follow-up with orthopedics ... #TerryThomas #Wrist
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... • Stress Fracture ... Rupture • Impingement ... e.g„ Myofascial Pain ... Diagnosis #Algorithm #Orthopedics