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radiology diagnosis orthopedics management wrist xray fracture scaphoid carpi contusion ctchest disease dislocation dissociation ecu extensor fasciitis finger foot freiberg
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
pain with wrist ... Splint: Volar • 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"
associated injuries: distal ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #Sports ... #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #Sports ... #MSK
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... Thumb spica • 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 ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Osgood-Schlatter Disease - MSK Radiology Imaging Findings: • Infrapatellar fat-pad edema with loss of the patellar tendon
Osgood-Schlatter Disease - MSK ... signal of the distal ... Tibial tuberosity pain ... tibial tuberosity Differential ... #mri #clinical
Freiberg Infraction - MSK Radiology Imaging Findings: • Sclerosis of the 2nd MT head with flattening of
Freiberg Infraction - MSK ... Case description ... • Pain worsens ... Differential diagnosis ... #mri #clinical
Plantar fasciitis - MSK Radiology Imaging Findings: • Thickening of the plantar fascia central band (measuring 9mm)
Case description ... • Plain film: ... Differential diagnosis ... and usually more distal ... #mri #clinical
Extensor Carpi Ulnaris (ECU) subluxation The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
with a searing pain ... the ECU tendon, MRI ... relevant body parts ... #subluxation #clinical ... Orthopedics #Wrist #msk
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 Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... breath and chest pain ... intra-abdominal bleeding ... Most commonly caused
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