17 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... • ED Management ... : Pain control, ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... , pain with wrist ... : Pain control, ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... tendon) • ED Management ... MH/CCF/CWRU EM ... #Hand #Orthopedics ... #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
pain with wrist ... injuries: Perilunate dislocation ... : Pain control, ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
radial-ulnar joint ... onto outstretched hand ... : Pain control ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... • Acute = Viral ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup #differential
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... : Pain control, ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... Orthopedics #Sports #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... bacterial, fungal, or viral ... #Pain #MSK #rheumatology ... approach #workup #differential
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... : Pain control, ... MH/CCF/CWRU EM ... #Hand #Orthopedics ... #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
dislocated major joint ... onto outstretched hand ... : Simple, pain control ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK