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management orthopedics diagnosis msk radiology xray sports carpal forearm radius distal elbow radial scaphoid anterior casts colles devices dissociation equipment
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
a thumb spica splint ... , perilunate dislocation ... immobilize • Splint ... 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 ... , scaphoid fracture ... immobilize • Splint ... MH/CCF/CWRU EM ... #TerryThomas #Wrist
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... injuries: Perilunate dislocation ... immobilize • Splint ... MH/CCF/CWRU EM ... #Wrist #Carpal
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 ... reduction • Splint ... MH/CCF/CWRU EM
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 ... orthopedics • Splint ... MH/CCF/CWRU EM
Anterior Shoulder Dislocation - ED Management The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... Bankart lesions (5%, fracture ... reduction • Splint ... consult: No (unless fracture ... MH/CCF/CWRU EM
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... reduction • Splint ... : Finger splint ... a concomitant fracture ... MH/CCF/CWRU EM
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... injury, elbow dislocation ... Pain control • Splint ... MH/CCF/CWRU EM
Galeazzi Fracture Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Galeazzi Fracture ... swollen forearm and wrist ... pronation and at wrist ... Pain control • Splint ... MH/CCF/CWRU EM
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Monteggia Fracture ... with radial head dislocation ... the radial head dislocation ... Pain control • Splint ... MH/CCF/CWRU EM
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