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diagnosis orthopedics radiology management xray fracture carpal dislocation sports forearm radial amsterdam clinical colles dissociation elbow galeazzi hand interphalangeal ipjoint
Amsterdam Wrist Rules Rules that dictate which patients require imaging based on the likelihood of wrist fracture
after any trauma DISTAL ... RADIUS FRACTURES ... Painful balottement test ... fracture #radiology ... #msk #orthopedics
Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •
Distal Radius Fracture ... Distal radius ... outstretched hand • Exam ... variable gross wrist ... #Orthopedics #MSK
Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial-ulnar ... distal radial-ulnar ... outstretched hand • Exam ... #Radial #Distal ... #Orthopedics #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... outstretched hand • Exam ... , median nerve injury ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
of the hand • Exam ... pain with wrist ... radius or ulna ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... outstretched hand • Exam ... associated injuries: distal ... radius fracture ... Orthopedics #Sports #MSK
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
outstretched hand • Exam ... olecranon fracture, distal ... radioulnar joint injury ... Fracture #Elbow #Radiology ... #Orthopedics #MSK
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
ligaments (prevent radial ... Hyperextension injury ... fingertip) • Exam ... Dislocation #IPJoint #Radiology ... #Orthopedics #MSK
The following #reflexes are routinely tested, and the response elicited is graded from zero to
reflex hammer hits ... or spinal root injury ... a pin from the periphery ... flexion of the distal ... Wrist clonus is
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... based on normal distal ... imaging or serial exams ... (25%) TEST FOR: ... #msk #clinical
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