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Michelle Lin's Twitter Updates

@precordialthump I totally forgot about the EKG library! Awesome stuff. Keep up the great work (when do you sleep?!) 258 days ago
@emeducation Perfect, thanks for the suggestions! Turns out one is co-authored by Jeff Tabas. He already gave them all books. 258 days ago
Recommendations for an EKG resource to review bread & butter cases for senior residents? Pre-graduation panic setting in for our residents. 258 days ago
@danipedia Good point. I use the studies to convince the trauma consults NOT to get c-spine imaging on EVERYONE (citing distracting injury)! 263 days ago
@doctorflash Hi there. Just wanted to drop a note to thank you for all the extra traffic you're sending to blog. Much appreciated!! 273 days ago
 

New EM radiology teaching idea: Wrist dislocation

Posted Oct 13 2009 10:07pm

What do you think is the best way to teach EM radiology?

Think outside the box.
Think beyond textbooks.
Think beyond static webpages.

I'm toying with the idea of using interactive Flash elements to teach radiology for emergency physicians. It's time intensive to build these modules, but the pay-off may be worth it. What do you think?

I've incorporated this approach to teaching radiology in a few of my past lectures, but I've never done so online. Here is my debut of a Flash-based teaching approach to reading plain films of the wrist.

Roll your mouse over the words to highlight the bones.

Image set #1: Normal xray of the wrist (AP and lateral) with key identifiable structures





Image set #2: Perilunate dislocation
For all plain films of the wrist, be sure to look at the lateral view for the 4-bone alignment (distal radius, lunate, capitate, 3rd metacarpal). Oftentimes, dislocations such as this perilunate dislocation are missed.





Image set #3: Lunate dislocation
Just yesterday, a Chicago Bears player Brian Urlacher sustained a lunate dislocation, which requires operative repair. Notice that the lunate appears abnormally as a triangle-shape on the AP view, instead of the usual cuboid shape. Furthermore, the lunate has "spilled" volarly on the lateral view. Both perilunate and lunate dislocations place the patient at risk for a median nerve injury.



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