10 results
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
humerus; simple = no fracture ... , complex = fracture ... associated injuries: Fractures ... + radial head fracture ... coronoid process fracture
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
Monteggia Fracture ... Fracture of proximal ... recall where the fracture ... 4-10 • Ulna fracture ... #Monteggia #Fracture
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Galeazzi Fracture ... Fracture of distal ... • Fracture of ... /CWRU EM Res @MetroHealth_EM ... Radial #Distal #Radiology
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
Supracondylar Elbow Fracture ... Most common elbow fracture ... cortex • If a fracture ... supracondylar fracture ... Supracondylar #Fracture
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... joint needs to be clinically ... injuries: Avulsion fracture ... /CWRU EM Res @MetroHealth_EM ... Mallet #Finger #Radiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... injuries: Carpal fracture ... radial styloid fracture ... /CWRU EM Res @MetroHealth_EM ... Wrist #Carpal #Radiology
When a rib fracture heals, the callus formation may create a mass-like appearance (blue arrow).
Sometimes a
When a rib fracture ... differentiate a healing fracture ... from a lung mass ... #Clinical #Radiology ... #CXR #Old #RibFracture
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... In daily clinical ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Rib Fractures Rib ... fractures, though ... is required to fracture ... a lateral rib fracture ... #Lung #Pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... unless prior heart/lung ... medical and surgical management