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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management xray fracture hand sports carpal dislocation elbow forearm radius clinical distal physicalexam radial amsterdam boxers carpi colles comatose differential
Amsterdam Wrist Rules Rules that dictate which patients require imaging based on the likelihood of wrist fracture
Visible deformity, Tender ... Visible deformity, Tender ... radius #fracture #radiology ... #msk #orthopedics ... #diagnosis
Common Hand Fractures on X-Ray Mallet finger - injury to the lateral extensor slips Boutonniere deformity - injury
band of extensor tendon ... Terry thomas sign ... Fractures #XRay #Radiology ... #Wrist #differential ... #diagnosis
Distal Radius Fracture Distal radius fracture is the most common orthopedic injury. Here's a quick summary. •
variable gross wrist ... carpal tunnel syndrome ... Colles #Distal #Radiology ... #XRay #Diagnosis ... #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... • Due to injury ... ("Terry Thomas sign ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
, median nerve injury ... #Carpal #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... : Hyperflexion injury ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #MSK
Hamate Fracture on Wrist X-Ray - point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture on Wrist ... with associated signs ... neurovascular injury ... Fracture #WristXRay #Radiology ... #MSK #Orthopedics
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
brachial artery injury ... ), compartment syndrome ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #MSK
Interphalangeal Joint Dislocation Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
Hyperextension injury ... Discharge with orthopedic ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis ... #MSK
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