15 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
finger - injury ... to the lateral extensor ... tendon Volar plate ... thumb injury to ulnar ... #Wrist #differential
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
prevent radial and ulnar ... Management: Digital ... IPJoint #Radiology #XRay ... #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
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
of a fracture does ... tendon distal to ... • ED Management ... #Radiology #XRay ... #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 ... Carpal #Radiology #XRay ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsally and no longer ... extension • ... #Radiology #XRay ... #Orthopedics #Sports ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
• ED Management ... #Wrist #Carpal ... #Radiology #XRay ... #Diagnosis #Management ... #MSK
Extensor Carpi Ulnaris (ECU) Synergy Test for ECU Tendinitis

With the patient's hand supinated, the examiner grasps
Extensor Carpi Ulnaris ... thumb and middle finger ... palpating the ECU tendon ... aspect of the wrist ... #physicalexam #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 ... #Radiology #XRay ... #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 ... Distal #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK