Crossword Puzzles:
Antidotes Used In Toxicology

Orthopedics

September 2007 Radiology Quiz

 Answers due October 1st, 2007

 This patient is a 38 year old female who presents to the ED right wrist pain after falling. The following x rays are shown.

Questions:

1. Describe what you see?

• Lateral view shows a scaphoid fracture with dorsal perilunate dislocation.
• Ap View shows a scaphoid fracture.

 

Diagnosis: Scaphoid fracture with dorsal perilunate dislocation.

2. What is the mechanism of injury?

• The mechanism of injury includes excessive hyperextension, ulnar deviation, and intercarpal supination.

3. What would you find on physical exam?

• Dorsal wrist swelling and decreased wrist motion especially flexion
• A palpable fullness may be noted on the dorsal side of the wrist
• Compression of the median nerve can occur in the carpal canal by the lunate, and the patient may display signs of a median nerve injury.

4. What would be your management for this patient?

• Immobilized with the wrist in neutral position in a volar splint
• Immediate Hand consult for reduction and definitive care.
• Pain management

 

Trivia:   Which Beatle paid Brian Wilson the ultimate compliment by stating that "God Only Knows" was the most beautiful pop song ever recorded?

•   A: Paul McCartney

[St Barnabas Hospital] [Tintinalli & Rosen's Quiz] [Radiology Case Studies] [2004-05 Radiology Quizzes] [2005-06 Radiology Quizzes] [2006-07 Radiology Quizzes] [2007-08 Radiology Quizzes] [2008-09 Radiology Quizzes] [Cardiology Case Studies] [Conference] [Lectures] [Teaching Files] [Board Review] [Links] [Residency Program] [Research] [Senior Party] [Shetty's Farewell] [Senior Party 2008]