19 results
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... tendon Volar plate ... thumb injury to ulnar ... XRay #Radiology #Wrist ... #differential #diagnosis
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
(4%), Radius & Ulnar ... Fractures • Finger ... • Extension of ... wrist & MCP joint ... UpperExtremities #diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
distal to distal ulna ... , pain with wrist ... flexion and extension ... #Wrist #Carpal ... Radiology #XRay #Diagnosis
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
fracture in a patient ... Visible deformity, Tender ... Visible deformity, Tender ... radiology #msk #orthopedics ... #diagnosis
Orthopedic Fracture Classification - Upper Limbs
Neer Classification of Proximal Humeral head Fractures:
 • 1-part
 • 2-part:
Orthopedic Fracture ... displacement of the wrist ... displacement of the wrist ... #Upper #Limbs #Orthopedics ... #diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... prevent radial and ulnar ... Discharge with orthopedic ... Radiology #XRay #Diagnosis ... Management #Hand #Orthopedics
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
stabilizes forearm and ulnar ... deviates the wrist ... pollicis longus and extensor ... pollicis brevis tendons ... #sports #msk #orthopedics
Example of 4th wrist extensor compartment tenosynovitis, note marked synovial hypertrophy and effusion in the tendon
Example of 4th wrist ... tenosynovitis, ... effusion in the tendon ... #extensor #tenosynovitis ... ultrasound #msk #pocus
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... tendon distal to ... Exam: Swollen and tender ... Discharge with orthpedic ... Radiology #XRay #Diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial-ulnar ... swollen forearm and wrist ... pronation and at wrist ... Radiology #XRay #Diagnosis ... #Management #Orthopedics