11 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... #Dissociation #TerryThomas ... #Wrist #Scaphoid ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
functional deficit and arthritis ... ulna, pain with wrist ... Triquetrum #Fracture #Wrist ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Arthritis of the Hand - Arthritis Patterns

Osteoarthritis:
• Osteoarthritis of the hand usually involves the DIP and
Patterns Osteoarthritis ... nodes - DIP • XRAY ... • MCP + PIP + Wrist ... Hemochromatosis • Wrist ... #patterns #hand
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... associated injuries: Carpal ... #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
commonly fractured carpal ... not seen on x-ray ... Scaphoid #Fracture #Wrist ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
heart disease: Patterns ... : PDA, VSD, AV canal ... if cardiac or pulmonary ... defects most often Gray ... #HeartDisease #patterns
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Rheumatoid arthritis ... small joints (wrists ... Swelling notable on Xray ... boggy" joints, esp carpal ... fingers, radial wrist
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... injury, acute carpal ... Distal #Radiology #XRay ... #Orthopedics #MSK
Hand X-Ray Anatomy and Interpretation Checklist
1. Soft tissues - Look carefully at the soft tissue over
into the hand and wrist ... the trabecular pattern ... look for signs of arthritis ... proximal to the carpal ... drdevrad #Hand #XRay
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
GCA (Giant Cell Arteritis ... mucositis • Rash, arthritis ... nonspecific white and gray ... matter changes ... and often causes arthritis