9 results
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
• Terrible triad ... MH/CCF/CWRU EM ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, median nerve injury ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... • Due to injury ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... : Hyperflexion injury ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
MH/CCF/CWRU EM ... Dislocation #Anterior #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
syndrome, ligamentous injury ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... #Proximal #MSK
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
brachial artery injury ... MH/CCF/CWRU EM ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #MSK
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... Intraabdominal - Orthopedic ... unless prior heart/lung ... CARP, DECREASE V trials ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This patient’s clinical ... #Radiology #CTChest ... #Lung #Pulmonary