14 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
apple") should sit ... apple" does not sit ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... ulna, pain with wrist ... Discharge with orthopedic ... MH/CCF/CWRU EM
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... in aVR, a true sign ... is a good ECG sign ... #Clinical #EM #IM ... #STElevations #STE
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... box, pain with wrist ... MH/CCF/CWRU EM ... #TerryThomas #Wrist
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
the most common orthopedic ... • Most common orthopedic ... variable gross wrist ... Chauffer with orthopedic ... MH/CCF/CWRU EM
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
will be obvious; signs ... swollen forearm and wrist ... pronation and at wrist ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
Ulnar Fovea Sign ... aspect of the wrist ... flexion with the wrist ... #Ulnar #Fovea #Sign ... #physicalexam #orthopedics
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture on Wrist ... prompt outpatient orthopedics ... with associated signs ... Radiology #MSK #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
follow-up with Orthopedics ... follow-up with PCP or orthopedics ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... Diagnosis #Management #Orthopedics
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... Complex, involve orthopedics ... Complex, pending orthopedic ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics