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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Amsterdam Wrist Rules
Rules that dictate which patients require imaging based on the likelihood of wrist fracture
fracture in a patient ... after any trauma ... DISTAL RADIUS FRACTURES ... #radiology #msk ... #orthopedics #diagnosis
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... β€’ ED Management ... #Wrist #Carpal ... Radiology #XRay #Diagnosis ... #Sports #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation β€’ ED Management ... #Wrist #Carpal ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Sports #MSK
Clay-Shoveler Fracture 
 - Avulsion fracture of spinous process of C6 or C7 (Stable fracture)
 -
Clay-Shoveler Fracture ... - Avulsion fracture ... muscles or Direct trauma ... #Diagnosis #MSK ... SpinousProcess #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember β€œMUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... radial styloid fracture ... injury β€’ ED Management ... Radiology #XRay #Diagnosis ... #Sports #MSK
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
Fracture of the ... direct blunt/force trauma ... Management: - ... Hand #Metacarpal #Diagnosis ... #Management #Referral
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
Thomas" sign to diagnosis ... box, pain with wrist ... #TerryThomas #Wrist ... #Management #Orthopedics ... #Sports #MSK
DENTAL TRAUMA 
FRACTURE 
 - ENAMEL ONLY 
 - ENAMEL+DENTIN 
 - EXPOSED PULP 
AVULSION 
LUXATION
DENTAL TRAUMA FRACTURE ... LUXATION #Dental #Trauma ... #Diagnosis #Management ... #Tooth #Fracture
Most Common Carpal Bone Fractures by Frequency
 β€’ Scaphoid - 50-80%
 β€’ Triquetral - 5-20%
 β€’
Common Carpal Bone Fractures ... #Carpal #Bone #Fractures ... #wrist #frequency ... #radiology #msk ... #orthopedics #diagnosis