11 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
bones should be ... onto outstretched hand ... • Exam: Tenderness ... associated injuries: distal ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... • Exam: Swelling ... injuries: Perilunate dislocation ... Radiology #XRay #Diagnosis ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... onto outstretched hand ... • Exam: Tenderness ... Radiology #XRay #Diagnosis ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... onto outstretched hand ... • Exam: swelling ... Radiology #XRay #Diagnosis ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate ("apple") should ... tea cup") which should ... • Exam: tenderness ... Radiology #XRay #Diagnosis ... #Sports #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
onto outstretched hand ... • Exam: Tenderness ... , distal radioulnar ... #XRay #Diagnosis ... #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
of shoulder dislocations ... extended arm • Exam ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
joint dislocations ... fingertip) • Exam ... #Dislocation #IPJoint ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
needs to be clinically ... extensor tendon distal ... fingertip) • Exam ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and ... clinical judgement ... should be closely