Elbow, Wrist, and Hand Flashcards

1
Q

Which view is best for seeing hook of hamate fractures?

A

carpal tunnel view

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2
Q

chronic elbow pain - initial imaging

A

radiography elbow

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3
Q

chronic elbow pain - mechanical symptoms (locking, clicking, limited ROM), suspect intra-articular pathology, normal radiographs, next imaging study

A
  • MR arthography elbow
  • MRI
  • CT arthography
  • CT elbow
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4
Q

chronic elbow pain - suspect stress fracture or bone abnormality, radiographs normal, next imaging study

A
  • MRI
  • CT
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5
Q

chronic elbow pain - suspect chronic epicondylalgia or tendon tear, radiographs normal, next imaging study

A
  • US elbow
  • MRI
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6
Q

chronic elbow pain - suspect collateral ligament tear, radiographs normal, next imaging study

A
  • US elbow
  • MR arthrography
  • MRI
  • CT arthrography
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7
Q

chronic elbow pain - suspect nerve abnormality, radiographs normal, next imaging study

A
  • US elbow
  • MRI
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8
Q

What type of injury typically results in a hook of hamate fracture?

A

FOOSH type injury

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9
Q

chronic wrist pain - w/ or w/o prior injury, best initial study

A

x-ray wrist

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10
Q

chronic wrist pain - routine radiographs normal, persistent symptoms, next study

A

MRI

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11
Q

chronic wrist pain - radiographs normal, suspect carpal tunnel syndrome, next study

A

Ultrasound wrist - may be appropriate
MRI wrist - may be appropriate

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12
Q

acute hand and wrist trauma - acute blunt or penetrating trauma to hand or wrist, initial imaging

A

radiography area of interest

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13
Q

acute hand and wrist trauma - suspect acute hand or wrist trauma, initial radiographs negative, next imaging study

A
  • MRI
  • radiography area of interest repeat in 10-14 days
  • CT area of interest
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14
Q

acute hand and wrist trauma - acute wrist fracture on radiographs, suspect wrist tendon or ligament trauma, next imaging study

A
  • MR arthrography
  • MRI wrist
  • CT arthrography
  • ultrasound wrist
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