21 results
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
home in a thumb spica ... immobilized • Both lead ... Splint: Thumb spica ... follow-up with Orthopedics ... #Sports #MSK
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
Splint: Thumb spica ... Disposition: Pending orthopedic ... Management #Hand #Orthopedics ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Splint: Thumb spica ... follow-up with orthopedics ... Diagnosis #Management #Orthopedics ... #Sports #MSK
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
Splint: Thumb spica ... home with close orthopedic ... Management #Hand #Orthopedics ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
injury with axial load ... Discharge with orthpedic ... Management #Hand #Orthopedics ... #MSK
Crank Test for Labral Tear of the Shoulder

To perform the Crank Test, fully abduct the shoulder
provide an axial load ... video #sports #msk ... #orthopedics
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
posterior fat pad ... II-IV, pending orthopedic ... Diagnosis #Management #Orthopedics ... #MSK
Algorithm for Acute ED Management of Excited Delirium 

Pearls for Appropriate Restraint:
- 1 person for each
- 1 person to lead ... with oxygen as a spit ... mask to ensure
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
posterior fat pad ... II-IV, pending orthopedic ... Diagnosis #Management #Orthopedics ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
injury with axial load ... Discharge with orthopedic ... Management #Hand #Orthopedics ... #MSK