13 results
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
prompt outpatient orthopedics ... ultimately require surgery ... associated signs ... neurovascular injury ... Radiology #MSK #Orthopedics
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
– compartment syndrome ... weeks Urgent orthopedics ... Overlying wounds or signs ... recommended if injury ... Management #Referral #Orthopedics
Acute Joint Pain - Vitamin CD Mnemonic
Vascular
Infectious
Trauma - Multiple injury sites, Open Fracture, Infectious joint pain
Autoimmune
Trauma - Multiple injury ... sites, Open Fracture ... Iatrogenic- Hx of prior surgery ... Mnemonic #MSK #Orthopedics ... #differential #
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... brachial artery injury ... ), compartment syndrome ... II-IV, pending orthopedic
Who to block and who not to block? Guidelines for Emergency Regional Anesthesiafor Trauma Orthopedic Injuries
Block
surgery as soon ... for compartment syndrome ... • Any injury ... neurovascular injury ... possible compartment syndrorne
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Leg Pain: • Fracture ... Trauma • Crush injury ... (Risks: Recent surgery ... extremity #msk #physicalexam
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
Orthopedic Emergencies ... after an acute injury ... antecedent trauma or surgery ... of spinal cord injury ... Hypovolemic Shock #Orthopedics
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Knee Effusions - Differential ... bearing after injury ... injuries - Meniscal injury ... Intra-articulation fracture ... diagnosis #msk #physicalexam
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
treat spinal cord injury ... : - Knife or bullet ... injury - Multiple ... Vertebral burst fracture ... #lesions #differential
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
Cord Disorders - Differential ... • Symptoms and signs ... below the site of injury ... compression by fractured ... MCTD, Sjogren syndrome