9 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
of shoulder dislocations ... immobilizer • Ortho ... injury, difficult reduction ... Disposition: DC with ortho ... MH/CCF/CWRU EM
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
• ED Management ... procedural sedation and reduction ... Simple, DC with ortho ... MH/CCF/CWRU EM ... XRay #Diagnosis #Management
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
distal radioulnar joint ... dislocation, scaphoid ... Management: Pain ... MH/CCF/CWRU EM ... MetroHealth_EM #RadialHead
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate ("apple") should ... tea cup") which should ... sedation and emergent reduction ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
all carpal bones should ... box, pain with wrist ... • ED Management ... Thumb spica • Ortho ... MH/CCF/CWRU EM
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
joint dislocations ... Digital block and reduction ... Finger splint • Ortho ... MH/CCF/CWRU EM ... #Dislocation #IPJoint
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 ... Adults: closed reduction ... MH/CCF/CWRU EM
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... Exam: swollen elbow ... I or Ill) • Ortho ... • If stable reduction ... MH/CCF/CWRU EM
Orthopedic Splints, Casts, Plasters, Traction and Frames
Upper Limb and Spine 
 • DUNLOP TRACTION: Used in
Applied from below elbow ... The wrist is held ... of ankle joint/ ... after reduction ... of hip dislocation