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management orthopedics sports wrist fracture scaphoid dissociation evaluation forearm monteggia perilunate perioperative preop preoperative proximal risk scapholunate stratification terrythomas triquetrum
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
trapezium, capitate, triquetrum ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... MH/CCF/CWRU EM ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... Orthopedics #Proximal #MSK
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... events or death (CARP ... stratification #diagnosis
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