26 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
patient with wrist pain ... FRACTURES: • ... Visible deformity, Tender ... Visible deformity, Tender ... #msk #orthopedics
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... ED Management: Pain ... II-IV, pending orthopedic ... #Fracture #Elbow
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
lateral epicondyle > radial ... dislocation + radial ... Management: Simple, pain ... Complex, pending orthopedic ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... dislocation, distal radius ... ED Management: Pain ... Discharge with orthopedic ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... injuries: Carpal fracture ... styloid fracture ... ED Management: Pain ... #Sports #MSK
Radial Nerve Block on POCUS
Identification of the radial nerve in the right upper arm just proximal
on POCUS Identification ... proximal to the elbow ... fracture. ... #clinical #ultrasound ... #anesthesia #pain
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
common elbow fracture ... capitellum (age 1), radial ... ED Management: Pain ... II-IV, pending orthopedic ... Diagnosis #Management #Orthopedics
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... and missing the radial ... Exam: swollen elbow ... ED Management: Pain ... DC with orthopedic
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
anatomic snuff box, pain ... injuries: distal radius ... ED Management: Pain ... follow-up with orthopedics ... #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... ligaments (prevent radial ... fingertip) • Exam: Pain ... Discharge with orthopedic ... Management #Hand #Orthopedics