19 results
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... articulate with the distal ... articulates with the distal ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, ... pain with wrist ... MH/CCF/CWRU EM ... Triquetrum #Fracture #Wrist ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Fracture of distal ... swollen forearm and wrist ... pronation and at wrist ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... after any trauma DISTAL ... fracture #radiology #msk
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Distal Radius Fracture ... Distal radius ... variable gross wrist ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... associated injuries: distal ... MH/CCF/CWRU EM ... #TerryThomas #Wrist ... Orthopedics #Sports #MSK
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Instability (MCI) of the Wrist ... deviation of the wrist ... ECU, ECRB) The distal ... #Instability #Wrist ... #msk #orthopedics
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Timing: early (distal ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Ask about precipitating ... symptoms, post-ictal ... #Diagnosis #EM # ... Neuro #IM #Sycope
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
scaphoid entering distally ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... Orthopedics #Sports #MSK