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

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Instability (MCI) of the Wrist ... extended, and when ulnar ... extensors (ECU, ... #orthopedics #clinical ... #video #physicalexam
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
aspect of the wrist ... the elbow on a table ... flexion with the wrist ... Fovea #Sign #Test #wrist ... #clinical #video
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 ... #Carpal #Radiology ... #XRay #Diagnosis
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 ... Radial #Distal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Fracture of proximal ulnar ... Peak age 4-10 • Ulna ... • If stable ... #Radiology #XRay ... #Diagnosis #Management
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... injury • ED Management ... #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
prevent radial and ulnar ... tendon) • ED Management ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #Management #Hand
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... extension • Possible ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... fracture • ED Management ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Management #Hand