11 results
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 ... Triquetrum #Fracture #Wrist ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... associated injuries: distal ... Thumb spica • 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
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Instability (MCI) of the Wrist ... The proximal carpal ... ECU, ECRB) The distal ... carpal row returns ... #msk #orthopedics
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
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... supination • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... PIP joint • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
olecranon fracture, distal ... Splint: Sling • Ortho ... Type I, DC with ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Differential Diagnosis ... Ask about precipitating ... symptoms, post-ictal ... #Diagnosis #EM # ... Sycope #Causes #Differential