Lunate and Perilunate dislocation

A 36F presenting with wrist pain after a fall on an outstretched hand. She has pain and swelling over the dorsal-radial aspect of her hand. Her xray is below, what is the diagnosis? It’s the spilled tea cup sign, but can you remember which dislocation it stands for?? It is the lunate dislocation. Both the […]

Fractures and Nerves

Board review: fractures/dislocations and associated nerve injuries: Acetabular fracture – sciatic nerve Anterior shoulder dislocation – axillary and musculocutaneous nerve Humerus – radial nerve Elbow dislocation – ulnar or median nerve Olecranon fracture – ulnar nerve Supracondylar fracture – median, radial or ulnar nerve Hip dislocation Anterior – femoral nerve Posterior – sciatic nerve Knee […]

Clinical Pearl: July 19th

A 29 year old soccer player presents to your ER with a shoulder deformity after falling backwards onto an outstretched arm. He has dislocated the same shoulder three times previously. What two specific lesions should you look for on the xray? Why do they matter?  

August 2024
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