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diagnosis msk orthopedics radiology xray sports carpal wrist dislocation elbow hand radius anesthesia anesthesiology bells cabcde cardiac checklist dissociation distal
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Scaphoid Fractures ... immobilized • Both lead ... dislocation • ED Management ... Thumb spica • Ortho ... XRay #Diagnosis #Management
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... posterior fat pad ... elbow dislocation, scaphoid ... Management: Pain ... Type I, DC with ortho
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... , scaphoid fracture ... Thumb spica • Ortho ... XRay #Diagnosis #Management
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... • ED Management ... Splint: Volar • Ortho ... XRay #Diagnosis #Management
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
anterior sail sign ... posterior fat pad ... can't make A-OK sign ... syndrome • ED Management ... Type l, DC with ortho
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... • ED Management ... Posterior long arm • Ortho ... Simple, DC with ortho ... XRay #Diagnosis #Management
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... (scaphoid most ... radial styloid fracture ... injury • ED Management ... Sugar tong • Ortho
Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Galeazzi Fracture ... will be obvious; signs ... injuries: Rare • ED Management ... supination • Ortho ... XRay #Diagnosis #Management
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... injury with axial load ... injuries: Avulsion fracture ... • ED Management ... PIP joint • Ortho
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... injury with axial load ... tendon) • ED Management ... Finger splint • Ortho ... XRay #Diagnosis #Management
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