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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Salter Harris Fractures - Pediatric Fractures of the Physis 
SALTR Mnemonic 

Salter Harris I 
Straight through
- Pediatric Fractures ... be visible on X-ray ... Can present with normal ... opposite limb XR for comparison ... Orthopedics #Diagnosis #Management
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
Pediatric Elbow ... Injuries - Elbow Xrays ... fat pad (sail sign ... The normal radius ... #clinical
Supracondylar Elbow Fracture
β€’ Most common elbow fracture in children, peak age 5-7 
β€’ When looking at
posterior) and bone ... anterior sail sign ... Splint: Posterior long ... Humerus #Radiology #XRay ... #Orthopedics #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
radiocapitellar lines ... posterior) and bone ... anterior sail sign ... β€’ ED Management ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
between all carpal bones ... "Terry Thomas" sign ... between all carpal bones ... Carpal #Radiology #XRay ... Orthopedics #Sports #MSK
Radius Fracture on POCUS
Great example of the use of POCUS to diagnose a fracture of a
of a long bone ... Could also do X-ray ... alignment in both planes ... #POCUS #clinical ... #bone #msk #orthopedics
β–Ί
Sternal fracture on POCUS. 

It’s super easy! Place linear probe in long axis over point of
Sternal fracture ... linear probe in long ... disruption of bony ... Xray read as normal ... #Clinical #POCUS
β–Ί
TISSUE APPEARANCES ON 
MUSCULOSKELETAL ULTRASOUND 

Bone:
 
Bone is represented as a very bright structure and appears
Tendon: Normal ... MUSCULOSKELETAL #MSK ... #POCUS #Atlas # ... Clinical #Radiology ... #Comparison
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
, orient in line ... on long axis with ... Be wary of the bone ... completely replace x-ray ... POCUS #clinical
β–Ί
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Pediatric Trauma ... Binder) β€’ Use POCUS ... potential pelvic fracture ... tone, ↓ power ... Survey #CABCDE #management