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management carpal fracture clinical dislocation hand injury physicalexam scaphoid video acl amsterdam anterior comparison corner degenerative dissociation drawer finger inflammatory
Amsterdam Wrist Rules Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Visible deformity, Tender ... Painful balottement test ... radius #fracture #radiology ... #msk #orthopedics ... #diagnosis
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... Exam: Swollen and tender ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #MSK
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Discharge with orthopedic ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Disposition: Pending orthopedic ... #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Lachman Test for ACL Injury The patient lies supine and with the knee in ~20-30 degrees of
supine and with the knee ... degrees of flexion, hip ... Injury #Anterior #Cruciate ... #physicalexam #msk ... #orthopedics #sports
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 Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Discharge with orthopedic ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... Management #Hand #Orthopedics ... #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... Scaphoid #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Posterolateral Corner (PLC) Injury - Posterolateral Drawer Test Injury to the posterolateral corner (PLC) is difficult to
is difficult to diagnose ... and posterior cruciate ... #PhysicalExam #Sports ... #Orthopedics #Knee ... #Posterior #msk
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 Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
not seen on x-ray ... Scaphoid #Fracture #Wrist ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Distinguishing between Inflammatory and Degenerative joint disease Inflammatory Joint Disease • Swelling stimulates joint nociceptors -> Pain
weight-bearing joints tend ... commonly affects the knee ... hip and L/C-spine ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
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