8 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
associated injuries: distal ... Thumb spica • Ortho ... follow-up with orthopedics ... MH/CCF/CWRU EM ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
articulate with the distal ... articulates with the distal ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
injuries: Perilunate dislocation ... Splint: Volar • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Finger splint • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... Management #Hand #Orthopedics ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... , perilunate dislocation ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... #Sports #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
olecranon fracture, distal ... injury, elbow dislocation ... Type I, DC with ortho ... MH/CCF/CWRU EM ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... extensor tendon distal ... PIP joint • Ortho ... MH/CCF/CWRU EM ... #MSK
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
: ~25% cases. ... Neurologic deficit ... based on normal distal ... trauma/vascular/orthopedic ... Posterior #Injury #msk