11 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
Supracondylar (4-6%), Humeral ... Small muscles of hand ... adduction) OK Sign ... Scissors #Nerve #Injury ... UpperExtremities #diagnosis
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
olecranon relative to humerus ... (medial/lateral ... can't make A-OK sign ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... anterior sail sign ... onto outstretched hand ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... brachial artery injury ... MH/CCF/CWRU EM ... #Elbow #Humerus ... Radiology #XRay #Diagnosis
Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads
apposed to the humerus ... intra-articular injury ... more specific and ... called the “Sail sign ... #trauma #clinical
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
fat pad (sail sign ... a significant injury ... head and neck should ... Xrays #Radiology #peds ... #Pediatrics #clinical
Prior anterior glenohumeral joint dislocation with Hill-Sachs fracture and Perthes lesion
Imaging Findings:
 • The arrow is
Similar injury to ... labrum displaces medially ... Perthes #lesion #clinical ... #mri #clinical ... #Radiology #diagnosis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... echocardiogram to workup ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
ligaments (prevent radial ... Hyperextension injury ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Hand
Adhesive Capsulitis (Frozen Shoulder) - Pathogenesis and Clinical Findings

 • Primary (Idiopathic): Unknown etiology, but associated
Clinical Findings ... Prolonged shoulder injury ... rotator cuff tear, humeral ... head fracture) ... #symptoms #signs