58 results
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
Axillary nerve injury ... reduction • Splint ... immobilizer • Ortho ... neurovascular injury ... Disposition: DC with ortho
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
), ligamentous injury ... brachial artery injury ... orthopedics • Splint ... Posterior long arm • Ortho ... Simple, DC with ortho
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
a thumb spica splint ... : Scapholunate dissociation ... , perilunate dislocation ... immobilize • Splint ... Thumb spica • Ortho
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... distal radius fracture ... , scaphoid fracture ... immobilize • Splint ... Thumb spica • Ortho
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 ... #Dagnosis #EM #Ortho
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
radioulnar joint injury ... , elbow dislocation ... Pain control • Splint ... : Sling • Ortho ... Type I, DC with ortho
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture ... suspicion for a fracture ... can be splinted ... ED with a volar splint ... neurovascular injury
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Triquetral Fracture ... most commonly fractured ... injuries: Perilunate dislocation ... immobilize • Splint ... : Volar • Ortho
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... Hyperextension injury ... reduction • Splint ... : Finger splint ... • Ortho consult:
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... radial styloid fracture ... , median nerve injury ... reduction • Splint ... Sugar tong • Ortho