Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Orthopedic Dislocations (Shoulder, Elbow and Hip) - Diagnosis and Management Summary
Shoulder Dislocation
 β€’ Fall on the
and Management ... with rotation β€’ Posterior ... elbow fully as a test ... Hip Dislocation ... Affected hip and
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Posterior Elbow ... fracture β€’ ED Management ... reduction; Complex ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
and PIP joints ... tendon) β€’ ED Management ... reduction β€’ Splint ... XRay #Diagnosis #Management ... #MSK
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
for Piriformis Syndrome ... The test is positive ... Pace #Maneuver #Test ... #clinical #video ... lumbar #sciatica #msk
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Piriformis Test (FAIR Test - Flexion, Adduction, and Internal Rotation)

Flex the hip to 90 degrees, then
, Adduction, and ... Rotation) Flex the hip ... internally rotate the hip ... sciatica #lumbar #clinical ... #physicalexam #msk
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Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
with radial head dislocation ... : Neuropraxia (posterior ... ), compartment syndrome ... β€’ If stable reduction ... Orthopedics #Proximal #MSK
Reduction of Patellar Dislocation 
Most patellar dislocations are lateral, and they often reduce on their own.
Reduction of Patellar ... Dislocation Most ... or recline with hips ... #Procedure #MSK ... #Knee #Clinical
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Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
ED arrival MSK ... - Fractures, dislocations ... (posterior shoulder ... compartment syndrome ... #Emergency #Algorithm
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Posterior Knee Dislocation ... POSTERIOR DISLOCATION ... nerve injury (25%) TEST ... Check hip and ankle ... #msk #clinical
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Posteromedial Impingement Syndrome (POMI) on POCUS 
Postero-Medial Impingement Syndrome #POMI following ankle inversion injury - Thickening
Impingement Syndrome ... injury - Thickening and ... Imaging tip: The ... #POCUS #msk #ultrasound ... #clinical
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