11 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... immobilize • Splint: Thumb ... spica • Ortho ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Sugar tong • Ortho ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... #Carpal #Radiology ... Diagnosis #Management #Orthopedics
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
spica • Ortho ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... #Metacarpal #Radiology ... Management #Hand #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... spica • Ortho ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
Gamekeeper's thumb ... Triquetral fracture Boxer's ... Fractures #XRay #Radiology ... #Wrist #differential
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
spica • Ortho ... home with close orthopedic ... MH/CCF/CWRU EM ... #Metacarpal #Radiology ... Management #Hand #Orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Splint: Volar • Ortho ... Discharge with orthopedic ... MH/CCF/CWRU EM ... #Carpal #Radiology
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Boxer's Fracture ... flexed 70-900 • Ortho ... MH/CCF/CWRU EM ... #Fracture #Thumb ... #Metacarpal #Radiology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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the most common orthopedic ... variable gross wrist ... Sugar tong • Ortho ... MH/CCF/CWRU EM ... Colles #Distal #Radiology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
[cannot extend thumb ... I or Ill) • Ortho ... DC with orthopedic ... MH/CCF/CWRU EM ... Forearm #Ulnar #Radiology