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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Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
fat pad (sail sign ... cortex of the humerus ... head dislocation ... The normal radius ... peds #Pediatrics #clinical
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... anterior sail sign ... head fracture! ... #Orthopedics #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
olecranon relative to humerus ... head > coronoid ... can't make A-OK sign ... head fracture + ... Orthopedics #Sports #MSK
Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads
Radial Head Elbow ... apposed to the humerus ... #Head #Elbow #Fracture ... #trauma #clinical ... #radiology #msk
Supracondylar Elbow Fracture
β€’ Most common elbow fracture in children, peak age 5-7 
β€’ When looking at
anterior sail sign ... capitellum (age 1), radial ... head (age 3), internal ... #Elbow #Humerus ... #Orthopedics #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
ulnar shaft with radial ... head dislocation ... head dislocation ... radiocapitellar line ... Orthopedics #Proximal #MSK
Hill-Sachs Lesion on Ultrasound 

Unlike normal variant irregular bare area (arrowhead) under infraspinatus, a Hill-Sachs lesion
Ultrasound Unlike normal ... head and is covered ... Lesion #Ultrasound #MSK ... #POCUS #Humerus ... #Clinical #Comparison
Radius Fracture on POCUS
Great example of the use of POCUS to diagnose a fracture of a
Radius Fracture ... of a long bone ... #Fracture #POCUS ... #clinical #bone ... #msk #orthopedics
β–Ί
Baker's Cyst on POCUS 
63yo w p/w pain and swelling behind knee.  Probe on knee
Cyst. synovial lined ... head of gastrocnemius ... Sign of intraarticular ... ultrasound #knee #clinical ... #msk
β–Ί
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Apnea/poor effort, Signs ... Binder) β€’ Use POCUS ... ↓ BP is a late sign ... potential pelvic fracture ... Survey #CABCDE #management