13 results
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 ... distal radius or ulna ... #XRay #Diagnosis
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... of extensor tendon ... thumb injury to ulnar ... #Radiology #Wrist ... #differential #diagnosis
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
The proximal carpal ... slightly extended, and ... when ulnar deviation ... extensors (ECU, ... orthopedics #clinical #video
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... extension • ... injury • ED Management ... #Carpal #Radiology ... #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... onto outstretched hand ... extension • Possible ... #Radiology #XRay ... #Diagnosis #Management
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... wrist, limited ... at wrist • Possible ... Distal #Radiology #XRay ... #Diagnosis #Management
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... Abduction - C8-T1 (ulnar ... aracteristic "claw hand ... Carpal Tunnel Syndrome ... Dermatomes #Myotomes #diagnosis
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... dislocation • ED Management ... Scaphoid #Fracture #Wrist ... #XRay #Diagnosis ... #Management #Orthopedics
Rheumatoid arthritis (RA): Pathogenesis and Joint diseases features
 • RA affects 1% of population, women >
Swelling notable on Xray ... boggy" joints, esp carpal ... Boutonniere's ulnar ... RheumatoidArthritis #RA #pathophysiology ... signs #symptoms #diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
ulnar displacernent ... phalanx to enable extension ... tendon) • ED Management ... IPJoint #Radiology #XRay ... #Diagnosis #Management