11 results
Supracondylar Extension Fracture Classification - Type I: Non-displaced. Type II: Displaced with intact posterior cortex. Type
Supracondylar Extension ... #Diagnosis #EM # ... Ortho #Supracondylar ... #Extension #Fracture ... Classification #ALiEM
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
wrist flexion and extension ... Splint: Volar • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
long arm • Ortho ... Simple, DC with ortho ... Complex, pending orthopedic ... MH/CCF/CWRU EM ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... PIP joint • Ortho ... Discharge with orthpedic ... MH/CCF/CWRU EM ... #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
pads (anterior & posterior ... Splint: Sling • Ortho ... Type I, DC with ortho ... MH/CCF/CWRU EM ... #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
long arm • Ortho ... Type l, DC with ortho ... II-IV, pending orthopedic ... MH/CCF/CWRU EM ... #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
: Neuropraxia (posterior ... I or Ill) • Ortho ... DC with orthopedic ... MH/CCF/CWRU EM ... #Proximal #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
pain with wrist extension ... Thumb spica • Ortho ... follow-up with orthopedics ... MH/CCF/CWRU EM ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
pain with wrist extension ... radial styloid fracture ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Finger splint • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics ... #MSK