NBME 24 Answers ↦
(32.1 difficulty score)
A 34-year-old woman is brought to the ...
Yep. I didn't even look at the X-ray.
loonies love lunate
she landed on her "right hand", but the X-ray is showing a left hand??
i legit have no idea whats going on in that xray lol
X-ray confused the hell out of me, I was going to put lunate based on Q stem but ended up putting Pisiform because it looks like that's what's messed up in the photo? Should have ignored the picture haha.
for @dr.xx, love your mnemonic. I added to it, or at least found an explanation on why it works. "loonies love lunate" and "loonies" are "dislocated" from reality.
She Looks Too Pretty, Try To Catch Her is a mnemonic that works for me.
Some Lovers Try Positions That They Cant Handle
ngl if scaphoid was an option - would've sprung at that real quick -> thanks for teaching me the importance of knowing to look for dislocation vs fracture :D
Ahh, the classic "left hand" x-ray but actual fracture of "right hand" NBME tactic
I think the x-ray is showing the lunate protruding out of the palmar side. Imagine the situation where you are falling and using your hand to stop the fall. Your lunate will dislocate forward as the rest of the carpal bones recoil back, hence why it protrudes through the palmar side. Thats why it causes an acute carpal tunnel syndrome.