17 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
onto outstretched hand ... dorsum of the hand ... pain with wrist ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
Fracture of distal ... wrist, limited ... at wrist • Possible ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
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Distal radius ... onto outstretched hand ... 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"
onto outstretched hand ... box, pain with wrist ... associated injuries: distal ... MH/CCF/CWRU EM ... Orthopedics #Sports #MSK
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... Timing: early (distal ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Instability (MCI) of the Wrist ... slightly extended, and ... deviation of the wrist ... ECU, ECRB) The distal ... #msk #orthopedics
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Ask about precipitating ... symptoms, post-ictal ... causes of syncope and ... #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 ... onto outstretched hand ... MH/CCF/CWRU EM ... Scaphoid #Fracture #Wrist ... Orthopedics #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
extensor tendon distal ... Exam: Swollen and ... MH/CCF/CWRU EM ... Diagnosis #Management #Hand ... #Orthopedics #MSK