US for distal phalangeal fractures

22/09/2016 by Bob Dunn

The Hand injuries page has been updated with information about the test characteristics of US for the detection of distal phalangeal fractures.

US for metacarpal fractures

Interphalangeal joint dislocation reduction technique

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Contributors
Associate Professor Robert Dunn

Previous contributors
Associate Professor Meredith Borland
Dr Deborah O'Brien
Dr Stuart Dilley
Dr Jennifer Brookes
Associate Professor Deborah Leach

Formula of the day

eGFR = 186 × (SCr x 0.0113)-1.154 × (age) - 0.203 [× 0.742 if female]

Medical wisdom

When using digital imaging systems: reverse the polarity of the image to help see soft tissue lines (e.g. pneumothorax) or subtle interruptions to bony trabeculae (e.g. fractures) better.

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US should change clinical care in the ED only when it is performed by someone

With formal US credentials
Who meets ACEM US accreditation standards
Who is confident with their interpretation of suitable images

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