9 results
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
in Upper Limb Injuries ... Rock - Median ... Small muscles of hand ... adduction) OK Sign ... Scissors #Nerve #Injury
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
olecranon relative to humerus ... onto outstretched hand ... : Fractures (medial ... can't make A-OK sign ... MH/CCF/CWRU EM
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... anterior sail sign ... Possible associated injuries ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
onto outstretched hand ... Possible associated injuries ... brachial artery injury ... MH/CCF/CWRU EM ... #Elbow #Humerus
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
Pediatric Elbow Injuries ... fat pad (sail sign ... a significant injury ... Xrays #Radiology #peds ... #Pediatrics #clinical
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
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury ... Possible associated injuries ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Hand
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
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Vital signs: BP ... This patient’s clinical ... clinical judgement