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
fracture in a patient ... DISTAL RADIUS FRACTURES ... FRACTURES: β€’ Increased ... #Rules radius #fracture ... #radiology #msk
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... β€’ ED Management ... #Wrist #Carpal ... #Radiology #XRay ... Orthopedics #Sports #MSK
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture ... on Wrist X-Ray ... suspicion for a fracture ... #WristXRay #Radiology ... #MSK #Orthopedics
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
dislocation β€’ ED Management ... #Wrist #Carpal ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Clay-Shoveler Fracture 
 - Avulsion fracture of spinous process of C6 or C7 (Stable fracture)
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Clay-Shoveler Fracture ... process of C6 or C7 (Stable ... #Diagnosis #MSK ... #Radiology #Cervical ... SpinousProcess #MSK
Most Common Carpal Bone Fractures by Frequency
 β€’ Scaphoid - 50-80%
 β€’ Triquetral - 5-20%
 β€’
Common Carpal Bone Fractures ... #Carpal #Bone #Fractures ... #wrist #frequency ... #radiology #msk
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
injuries: Carpal fracture ... radial styloid fracture ... injury β€’ ED Management ... #Carpal #Radiology ... Orthopedics #Sports #MSK
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember β€œMUGR” to recall
swollen forearm and wrist ... pronation and at wrist ... Radial #Distal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... #TerryThomas #Wrist ... Scaphoid #Carpal #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
and cardiogenic pulmonary ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table ... Central #Peripheral #RadiologyAssistant