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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Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
Orthopedic Essentials ... Trauma and Spine Classification ... process fracture Stable ... deficit, still able ... #Orthopedics #diagnosis
Segond Fracture
- Avulsion fracture of the proximal tibia below the articular surface. 
- Associated with anterior
anterior cruciate ligament ... Segond #Fracture #Diagnosis ... #Orthopedics #Radiology ... KneeXRay #Clinical #MSK
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
rises from the table ... rise from the table ... anterior #cruciate #ligament ... physicalexam #sports #msk ... #orthopedics
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Pes Anserine Bursitis - MSK Radiology
Imaging Findings:
 • T2-hyperintense fluid-like signal along the medial aspect of
Anserine Bursitis - MSK ... Differential diagnosis ... Semimembranosus-Tibial Collateral Ligament ... clinical #Radiology #diagnosis ... #msk
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
terminal extensor tendon ... Exam: Swollen and tender ... Discharge with orthpedic ... Radiology #XRay #Diagnosis ... #MSK
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
capsule. collateral ligaments ... Discharge with orthopedic ... Radiology #XRay #Diagnosis ... Management #Hand #Orthopedics ... #MSK
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
lateral collateral ligament ... injury, we are able ... repair of the ligament ... PhysicalExam #Sports #Orthopedics ... #msk
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Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
the most common orthopedic ... • Most common orthopedic ... lunotriquetral ligament ... Radiology #XRay #Diagnosis ... #MSK
Intraoperative Thompson Test - Assessing the Achilles’ tendon following a surgical repair for rupture. The calf
the Achilles’ tendon ... the examination table ... patients may be able ... physicalexam #surgery #msk ... #ankle #orthopedics
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Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
- Differential Diagnosis ... by Classification ... tamponade - Tension ... #Classification ... #Table #CriticalCare