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msk diagnosis management radiology xray sports carpal wrist elbow clinical scaphoid anatomy anesthesia boxers brachialplexus dissociation forearm humerus interphalangeal ipjoint
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
onto outstretched hand ... anatomic snuffbox, pain ... , perilunate dislocation ... ED Management: Pain ... MH/CCF/CWRU EM
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... Management: Simple, pain ... Complex, involve orthopedics ... Complex, pending orthopedic ... MH/CCF/CWRU EM
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
to distal ulna, pain ... injuries: Perilunate dislocation ... ED Management: Pain ... Discharge with orthopedic ... MH/CCF/CWRU EM
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... anatomic snuff box, pain ... ED Management: Pain ... follow-up with orthopedics ... MH/CCF/CWRU EM
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... , due to EDS and ... Discharge with orthopedic ... MH/CCF/CWRU EM ... #Orthopedics #MSK
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
onto outstretched hand ... injury, elbow dislocation ... ED Management: Pain ... II-IV, pending orthopedic ... MH/CCF/CWRU EM
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
dorsal wrist, pain ... injuries: Carpal fracture ... radial styloid fracture ... ED Management: Pain ... MH/CCF/CWRU EM
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
with radial head dislocation ... the radial head dislocation ... ED Management: Pain ... DC with orthopedic ... MH/CCF/CWRU EM
Boxer's Fracture - ED Management Be sure to assess for wounds in patients with fractures of the
ED Management: Pain ... using hematoma block ... Discharge home with orthopedic ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
radiocapitellar lines), fat pads ... ED Management: Pain ... II-IV, pending orthopedic ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics
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