32 results
Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
fracture in a patient ... Visible deformity, Tender ... Visible deformity, Tender ... #radiology #msk ... #orthopedics #diagnosis
Common Hand Fractures on X-Ray
Mallet finger - injury to the lateral extensor slips
Boutonniere deformity - injury
to the lateral extensor ... central band of extensor ... tendon Volar plate ... #XRay #Radiology ... #Wrist #differential
Example of 4th wrist extensor compartment tenosynovitis, note marked synovial hypertrophy and effusion in the tendon
Example of 4th wrist ... extensor compartment ... tenosynovitis, ... effusion in the tendon ... #extensor #tenosynovitis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... flexion and extension ... #Wrist #Carpal ... #Radiology #XRay ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... tendon distal to ... Exam: Swollen and tender ... Mallet #Finger #Radiology ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
associated avulsion fractures ... Discharge with orthopedic ... Dislocation #IPJoint #Radiology ... Management #Hand #Orthopedics ... #MSK
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture ... on Wrist X-Ray ... prompt outpatient orthopedics ... #WristXRay #Radiology ... #MSK #Orthopedics
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
pollicis longus and extensor ... pollicis brevis tendons ... physicalexam #sports #msk ... #orthopedics #rheumatology ... #wrist
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
follow-up with Orthopedics ... follow-up with PCP or orthopedics ... #Wrist #Carpal ... #Radiology #XRay ... #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
extension • ... injuries: Carpal fracture ... radial styloid fracture ... #Carpal #Radiology ... #Sports #MSK