9 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... immobilizer • Ortho ... injury, difficult reduction ... Disposition: DC with ortho ... MH/CCF/CWRU EM
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 ... associated injuries: distal ... Thumb spica • Ortho ... MH/CCF/CWRU EM
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
pain with wrist ... injuries: Perilunate dislocation ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... , perilunate dislocation ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Fracture of distal ... swollen forearm and wrist ... pronation and at wrist ... supination • Ortho ... MH/CCF/CWRU EM
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
, distal radioulnar ... injury, elbow dislocation ... Type I, DC with ortho ... MH/CCF/CWRU EM ... MetroHealth_EM #RadialHead
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Distal Radius Fracture ... variable gross wrist ... procedural sedation and reduction ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
to the dorsal distal ... to the palmar distal ... block and reduction ... Finger splint • Ortho ... MH/CCF/CWRU EM