19 results
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... onto outstretched hand ... immobilize • Splint ... #Sports #MSK
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
fractures can be splinted ... ED with a volar splint ... with associated signs ... WristXRay #Radiology #MSK ... #Orthopedics
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
onto outstretched hand ... can't make A-OK sign ... • Splint: Posterior ... long arm • Ortho ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
a thumb spica splint ... onto outstretched hand ... , perilunate dislocation ... immobilize • Splint ... #Sports #MSK
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
the 4th or 5th metacarpal ... with ulnar gutter splint ... weeks Urgent orthopedics ... Overlying wounds or signs ... Management #Referral #Orthopedics
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
base of the first metacarpal ... immobilize • Splint ... Disposition: Pending orthopedic ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
procedural sedation and ... reduction • Splint ... : Sling-and-swath ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
/or 5th metacarpal ... object) • Splint ... Discharge home with orthopedic ... Diagnosis #Management #Hand ... #Orthopedics #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
onto outstretched hand ... reduction • Splint ... Disposition: Pending orthopedic ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
reduction • Splint ... : Finger splint ... Discharge with orthopedic ... Diagnosis #Management #Hand ... #Orthopedics #MSK