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Experts Dr. Arun Sayal and Dr. Matt DiStefano discuss commonly missed wrist injuries in the ED. They cover topics like DRUJ injuries, x-ray views for diagnosis, and management of fractures including Colles vs Barton's vs Smith's. Key x-ray signs for wrist injuries and TFC tears in distal radius fractures are highlighted.
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Quick takeaways
- Accurate diagnosis of wrist injuries requires comprehensive history-taking, consideration of tissue quality, and clinical examination of tenderness and surface anatomy.
- Knowledge of surface anatomy, including specific carpal bones and tender spots, aids in identifying fractures and ligament injuries in wrist trauma cases.
Deep dives
Understanding Wrist Injuries and Differential Diagnosis
Wrist injuries can be complex, requiring a thorough differential diagnosis. Comprehensive history-taking, considering age-related disease prevalence, and analyzing tissue quality are essential for accurate diagnosis. Clinical examination, including assessing tenderness and surface anatomy, plays a crucial role in pinpointing specific injuries such as scaphoid fractures or triangular fibrocartilage complex injuries.
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