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management orthopedics fracture wrist carpal hand sports metacarpal scaphoid boxers differential dislocation dissociation evaluation forearm fractures monteggia perilunate perioperative preop
Common Hand Fractures on X-Ray Mallet finger - injury to the lateral extensor slips Boutonniere deformity - injury
Gamekeeper's thumb ... collateral ligament Bennet ... Terry thomas sign Triquetral ... #Radiology #Wrist ... #differential #diagnosis
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
The triquetrum ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
BENNETT FRACTURE Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
BENNETT FRACTURE ... MH/CCF/CWRU EM ... #Metacarpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
prognosis than a Bennett ... MH/CCF/CWRU EM ... #Metacarpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
[cannot extend thumb ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis ... Orthopedics #Proximal #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
immobilize • Splint: Thumb ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... 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 ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... Orthopedics #Sports #MSK
Boxer's Fracture - ED Management Be sure to assess for wounds in patients with fractures of the
MH/CCF/CWRU EM ... Boxers #Fracture #Thumb ... #Metacarpal #Radiology ... #XRay #Diagnosis ... #Orthopedics #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: ... one post op Cardiology ... risk Chest X-ray ... stratification #diagnosis
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