11 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... extension • Possible ... Thumb spica • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Exam: swollen forearm ... and wrist, limited ... supination • Ortho ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... extension • ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... flexion and extension ... 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
joint needs to be clinically ... PIP joint • Ortho ... MH/CCF/CWRU EM ... #Hand #Orthopedics ... #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Radius #Fracture #Forearm ... #Orthopedics #MSK
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Boxer's Fracture ... prophylactic antibiotic treatment ... flexed 70-900 • Ortho ... MH/CCF/CWRU EM ... #MSK
Extensor Carpi Ulnaris (ECU) subluxation 
The Extensor Carpi Ulnaris (ECU), is the must ulnar of the
muscles of the forearm ... the elbow to the hand ... What is the Treatment ... #subluxation #clinical ... #msk
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... which augment forward ... causing hypovolemia needing ... #diagnosis #differential ... #algorithm #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Management Summary ... knees, fingers, wrist ... tophi • Tophi on extensor ... Dual-energy CT → MSU ... of allopurinol; boxed