9 results
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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... , pain with wrist ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
pain with wrist ... injuries: Perilunate dislocation ... Splint: Volar • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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variable gross wrist ... injury, acute carpal ... Sugar tong • 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 ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... Orthopedics #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... splint • Ortho ... MH/CCF/CWRU EM ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
caused by disruption ... extensor tendon distal ... ED Management: Pain ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Top 10 situations when to think about lupus
1) Inflammatory joint pain (especially in the wrists and
especially in the wrists ... and fingers, or ... pain everywhere ... the face (many differential ... diagnosis #sle #clues
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Autoimmune Myositis - Differential ... • Proximal + distal ... flexors, quadriceps, finger ... statins - probably caused ... #rheumatology #differential