10 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
pain with wrist ... ED Management: Pain ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... ED Management: Pain ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... associated injuries: distal ... ED Management: Pain ... MH/CCF/CWRU EM ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... ED Management: Pain ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Approach to Joint ... bacterial, fungal, or viral ... #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
ED Management: Pain ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #MSK
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Approach to Joint ... Differential Diagnosis ... or more joints Viral ... #Differential #Diagnosis ... #MSK #rheumatology
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
olecranon fracture, distal ... ED Management: Pain ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #MSK
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Approach to Joint ... Pain - Diagnostic ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... Discharge with orthopedic ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #MSK