15 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... pain with wrist ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... extensor tendon distal ... ED Management: Pain ... • Ortho consult ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... dorsal wrist, pain ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... associated injuries: distal ... Thumb spica • Ortho ... 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 ... Finger splint • Ortho ... MH/CCF/CWRU EM ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
onto outstretched hand ... ED Management: Pain ... supination • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... ED Management: Pain ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Chronic Joint Pain - Differential Diagnosis Algorithm 
Intra-Articular
 - Bone
     • Stress
Chronic Joint Pain ... - Differential ... Diagnosis Algorithm ... Intraarticular #MSK ... #Orthopedics #Causes
Approach to Joint Pain - Diagnostic Framework

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

1) Chronicity:
Pain - Diagnostic ... Like in this case ... get bacterial seeding ... #Joint #Pain #MSK ... approach #workup #differential
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Ask about precipitating ... symptoms, post-ictal ... syncope and their ... #Diagnosis #EM # ... Algorithm #Ddxof