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diagnosis msk management orthopedics radiology xray sports carpal ultrasound wrist elbow scaphoid shoulder anterior clinical dissociation exam fast finger forearm
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
a thumb spica splint ... : Scapholunate dissociation ... , perilunate dislocation ... immobilize • Splint ... MH/CCF/CWRU EM
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow Dislocation ... , 80% of elbow dislocations ... , complex = fracture ... orthopedics • Splint ... MH/CCF/CWRU EM
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
distal radius fracture ... , scaphoid fracture ... immobilize • Splint ... unless associated fracture ... MH/CCF/CWRU EM
Anterior Shoulder Dislocation - ED Management The shoulder is the most commonly dislocated major joint, 95% of
greater tuberosity fracture ... Bankart lesions (5%, fracture ... reduction • Splint ... : Sling-and-swath ... MH/CCF/CWRU EM
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Triquetral Fracture ... most commonly fractured ... injuries: Perilunate dislocation ... immobilize • Splint ... MH/CCF/CWRU EM
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... injuries: Avulsion fracture ... : Finger splint ... a concomitant fracture ... MH/CCF/CWRU EM
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... injury, elbow dislocation ... Pain control • Splint ... : Sling • Ortho ... MH/CCF/CWRU EM
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Perilunate Dislocation ... injuries: Carpal fracture ... radial styloid fracture ... reduction • Splint ... MH/CCF/CWRU EM
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... the radial head dislocation ... radiocapitellar line ... Pain control • Splint ... MH/CCF/CWRU EM
The value of point-of-care ultrasound for detecting nail bed injury in [the] ED American Journal of Emergency
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