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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Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... ulna, pain with wrist ... #Carpal #Radiology ... #Sports #MSK
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 ... radius #fracture #radiology ... #msk #orthopedics
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... box, pain with wrist ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
Thomas' Test for Hip ... Test assesses for hip ... rises off the table ... video #sports #msk ... #orthopedics
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Ulnar Fovea Sign Test for Fovea Disruption

Useful for patients with pain along the ulnar aspect of
Ulnar Fovea Sign ... the elbow on a table ... #Ulnar #Fovea #Sign ... #physicalexam #orthopedics ... #msk #sports
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Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... Disposition: Pending orthopedic ... #Carpal #Radiology ... 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
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Lelli's Test (Lever Sign ... rises from the table ... #Test #Lever #Sign ... physicalexam #sports #msk ... #orthopedics
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Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture on Wrist ... prompt outpatient orthopedics ... with associated signs ... Fracture #WristXRay #Radiology ... #MSK #Orthopedics
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
function of the DIP ... Discharge with orthpedic ... Mallet #Finger #Radiology ... Management #Hand #Orthopedics ... #MSK