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diagnosis msk radiology xray carpal sports forearm hand metacarpal distal radial radius scaphoid bennett boxers colles dislocation dissociation galeazzi monteggia
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... immobilize • Splint: Thumb ... spica • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... • ED Management ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal
BENNETT FRACTURE Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
motion • ED Management ... spica • Ortho ... home with close orthopedic ... MH/CCF/CWRU EM ... #Hand #Orthopedics
ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
motion • ED Management ... spica • Ortho ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... #Hand #Orthopedics
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... immobilize • Splint: Thumb ... spica • Ortho ... MH/CCF/CWRU EM ... #TerryThomas #Wrist
Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •
variable gross wrist ... injury) • ED Management ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... XRay #Diagnosis #Management
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... radial styloid fracture ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #Sports
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
[cannot extend thumb ... I or Ill) • Ortho ... DC with orthopedic ... MH/CCF/CWRU EM ... #Orthopedics #Proximal
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 ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Boxer's Fracture - ED Management Be sure to assess for wounds in patients with fractures of the
flexed 70-900 • Ortho ... Discharge home with orthopedic ... MH/CCF/CWRU EM ... #Thumb #Metacarpal ... #Hand #Orthopedics
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