12 results
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
prevent radial and ulnar ... Management: Digital ... Discharge with orthopedic ... #Hand #Orthopedics ... #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
, pain with wrist ... flexion and extension ... injuries: Perilunate dislocation ... Management: Pain ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... extension • Possible ... • ED Management ... #TerryThomas #Wrist ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... injuries: Carpal fracture ... radial styloid fracture ... #Orthopedics #Sports ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
• ED Management ... #Wrist #Carpal ... XRay #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
radial head dislocation ... the radial head dislocation ... DC with orthopedic ... #Orthopedics #Proximal ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... tendon distal to ... • ED Management ... #Hand #Orthopedics ... #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... injuries: Rare • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
stabilizes forearm and ulnar ... pollicis longus and extensor ... pollicis brevis tendons ... physicalexam #sports #msk ... #orthopedics #rheumatology
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
palpating the ECU tendon ... along the dorsal ulnar ... aspect of the wrist ... #physicalexam #msk ... #orthopedics #sports