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radiology management xray carpal wrist dislocation elbow scaphoid contusion dissociation forearm humerus monteggia perilunate posterior proximal pulmonary scapholunate supracondylar terrythomas
Scaphoid Fractures The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... space >3 mm on PA view ... immobilize • Splint: Thumb ... MH/CCF/CWRU EM ... #Sports #MSK
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
Splint: Posterior long ... MH/CCF/CWRU EM ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Monteggia Fracture Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
[cannot extend thumb ... Splint: Posterior long ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Proximal #MSK
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
an elbow x-ray review ... Splint: Posterior long ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary
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