1. X-Ray Rounds Basics / Wrist Mark Scott Nov. 1, 2007 Basics / Wrist Mark Scott Nov. 1, 2007

3. Systematic Approach Fracture Identification, Look for: Mal-alignment Discontinuity Radio-lucency / radio-opacity Fat pads Fracture Identification, Look for: Mal-alignment Discontinuity Radio-lucency / radio-opacity Fat pads

4. Mal-Alignment

5. Discontinuity

6. Radiolucency

7. Fat Pads

8. Rule of 2s 2 views 2 joints 2 sides (esp. for children) 2 times (before/after) 2 views 2 joints 2 sides (esp. for children) 2 times (before/after)

9. Fracture Description Location (bone, level) Pattern (type of #, open vs. closed) Alignment (of distal segment) Angulation Rotation Displacement Salter classification Location (bone, level) Pattern (type of #, open vs. closed) Alignment (of distal segment) Angulation Rotation Displacement Salter classification

10. Transverse # of distal radius with 10 0 dorsal angulation? Colles Fracture

11. Oblique # of distal radius immediately proximal to physis with 2mm of ulnar displacement? Salter II #

12. Salter-Harris Classification SSeparation (I) AAbove (II) LLow (III) TTransverse (IV) RcRush (V) SSeparation (I) AAbove (II) LLow (III) TTransverse (IV) RcRush (V)

13. Salter-Harris Classification

14. Salter IV

15. Salter II

16. Salter III

17. Colles #, 10 0 dorsal angulation, ? impaction

18. # Distal radius, dorsal disl. of scaphoid/lunate

19. FOOSH, pain with axial loading of 1st MC

21. 52 M demonstrating gymnastics

22. FOOSH 6 yo M

23. References 1.McRae, R. Pocketbook of orthopaedics and fractures [2nd ed.]. Churchill Livingstone Elsevier, 2006. 2.Tintnelli, JE. Emergency medicine: a comprehensive study guide [6th ed]. American College of Emergency Physicians / McGraw-Hill, New York, 2004. Pp. 1674-84. 3.Ritchie JV. Emergency Emerg Med Clin North Am - 01-NOV- 1999; 17(4): 823-42 1.McRae, R. Pocketbook of orthopaedics and fractures [2nd ed.]. Churchill Livingstone Elsevier, 2006. 2.Tintnelli, JE. Emergency medicine: a comprehensive study guide [6th ed]. American College of Emergency Physicians / McGraw-Hill, New York, 2004. Pp. 1674-84. 3.Ritchie JV. Emergency Emerg Med Clin North Am - 01-NOV- 1999; 17(4): 823-42