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
Amsterdam Wrist ... likelihood of wrist ... a patient with wrist ... fracture #radiology #msk ... #orthopedics #diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... , pain with wrist ... Disposition: Pending orthopedic ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Most Common Carpal Bone Fractures by Frequency
 β€’ Scaphoid - 50-80%
 β€’ Triquetral - 5-20%
 β€’
Bone #Fractures #wrist ... frequency #radiology #msk ... #orthopedics #diagnosis
Midcarpal Instability (MCI) of the Wrist

Intrinsic Midcarpal Instability
Usually affects young, hypermobile patients.
It is due to progressive
Instability (MCI) of the Wrist ... deviation of the wrist ... contraction of the wrist ... #Instability #Wrist ... #msk #orthopedics
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Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... Discharge with orthopedic ... Triquetrum #Fracture #Wrist ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
Left Wrist Drop ... trauma_modern #Wrist ... clinical #video #orthopedics ... #msk #sports #neurology
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Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
β€’
the most common orthopedic ... β€’ Most common orthopedic ... variable gross wrist ... Chauffer with orthopedic ... #MSK
Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
aspect of the wrist ... the elbow on a table ... flexion with the wrist ... #physicalexam #orthopedics ... #msk #sports
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Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... follow-up with orthopedics ... #TerryThomas #Wrist ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
PainSyndromes #Indications ... #Pathways #Table ... #MSK #Migraine