Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
carpal bone. ... injuries: Perilunate dislocation ... #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
carpal bone. ... scaphoid entering distally ... #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
between all carpal bones ... associated injuries: distal ... Carpal #Radiology #XRay ... #Orthopedics #Sports ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... Carpal #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports ... #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... disruption (may be bony ... extensor tendon distal ... Finger #Radiology #XRay ... #Orthopedics #MSK
This is a Buckle fracture. Elevation in straight hyperechoic cortex of long bone. Distal smooth edged
bone. ... Distal smooth edged ... valley = Open growth ... = Diagnosis - Resa ... #Clinical #POCUS
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Radius Fracture on POCUS
Great example of the use of POCUS to diagnose a fracture of a
to diagnose a fracture ... of a long bone ... Could also do X-ray ... #POCUS #clinical ... #bone #msk #orthopedics
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Sternal fracture on POCUS. 

It’s super easy! Place linear probe in long axis over point of
disruption of bony ... much higher than CXR ... & can diagnose ... Xray read as normal ... #Clinical #POCUS
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Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
US beats CXR on ... diagnosis; the ... orient in line on long ... confirm in the short ... POCUS #clinical
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Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
A 39-year-old male ... African American male ... Vital signs: BP ... not seen on a CXR ... Radiology #CTChest #Lung