wrist injuries
wrist radiograph interpretation
https://radiopaedia.org/articles/wrist-radiograph-an-approach
https://geekymedics.com/wrist-x-ray-interpretation-osce-guide/
https://www.aliem.com/emrad-wrist/
https://emergencymedicinecases.com/wrist-injuries/
children more likely to have distal radius fracture
carpal bone fracture more likely in young adults
copied shamelessly from AliEM:
- 2 views: One view is never enough.
- 2 abnormalities: If you see one abnormality, look for another.
- 2 joints: Image above and below (especially for forearm and leg).
- 2 sides: If unsure regarding a potential pathologic finding, compared to another side.
- 2 occasions: Always compare with old x-rays if available.
- 2 visits: Bring the patient back for repeat films.
distal rad/ulna injuries
buckle fractures
| Angulation of cortex without cortical disruption | |
|---|---|
| Mechanism | FOOSH, always, always |
| Patient demographic | |
| Clinical presentation | Pain/swelling without deformity |
| Anatomy | |
| Management | Futura splint +/- broad arm sling for 3-4 weeks Avoid contact sports 6 weeks Usually no f/up required |
https://radiopaedia.org/cases/buckle-fracture-distal-radius-4?lang=gb
https://www.rch.org.au/kidsinfo/fact_sheets/Fracture_care_buckle_injury/
carpal bones
lunate dislocation
- injury of dorsal radiolunate ligament
- median nerve palsy - due to acute carpal tunnel syndrome
hamate fracture
- rare
links
https://radiopaedia.org/articles/lunate-dislocation?lang=gb
https://emergencymedicinecases.com/wrist-injuries/
https://radiopaedia.org/cases/capitate-and-hamate-fractures?lang=gb thsi is not encouraging for my ability to read wrist x rays