35 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... Bankart lesions (5%, fracture ... procedural sedation and reduction ... injury, difficult reduction ... MH/CCF/CWRU EM
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
: Scapholunate dissociation ... , perilunate dislocation ... associated scapholunate dissociation ... MH/CCF/CWRU EM ... #Wrist #Carpal
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... distal radius fracture ... , scaphoid fracture ... MH/CCF/CWRU EM ... #TerryThomas #Wrist
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
On lateral wrist ... injuries: Carpal fracture ... radial styloid fracture ... sedation and emergent reduction ... MH/CCF/CWRU EM
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Triquetral Fracture ... ulna, pain with wrist ... injuries: Perilunate dislocation ... MH/CCF/CWRU EM ... #Wrist #Carpal
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow Dislocation ... , 80% of elbow dislocations ... , complex = fracture ... procedural sedation and reduction ... MH/CCF/CWRU EM
Hip Dislocation - Posterior dislocation (90%): Typically presents with hip flexed and adducted; 5-15% of posterior
Hip Dislocation ... - Posterior dislocation ... a femoral head fracture ... Anterior dislocation ... rotated #Dagnosis #EM
Orthopedic Fracture Classification - Upper Limbs
Neer Classification of Proximal Humeral head Fractures:
 • 1-part
 • 2-part:
radioulnar joint and dislocation ... of radius with dislocation ... displacement of the wrist ... displacement of the wrist ... with concomitant dislocation
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Radius & Ulnar Fractures ... Humeral Shaft Fractures ... • Extension of wrist ... of hand (finger abduction ... & adduction) OK
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 ... Children: closed reduction ... Adults: closed reduction ... MH/CCF/CWRU EM