Check out this lateral film of the wrist. See the fracture? Look again! Surprise...there is no fracture, but this patient has sustained a serious wrist injury with the potential for long term disability. This week we highlight some of the most common missed orthopedic injuries in the ED and suggest a few strategies to minimize the errors.
Acute compartment syndrome is a surgical emergency. Measurements of compartment pressures are an important adjunct to making the diagnosis. Check out this post for a video demonstration on how to operate the Stryker Device
A 12 year old female is tackled in a soccer game. She arrives with her knee in flexion and her patella laterally displaced. She is neurovascularly intact. Skin is intact. She cannot extend the knee. What is the diagnosis?
A. Patella Dislocation
B. Knee Dislocation
C. Quad Tendon Rupture
D. Patella Tendon Rupture
Answer is A - Patella Dislocation
A 38 year old male with a past medical history of IV drug use presented with right 4th finger pain. It is held in slight flexion, there is swelling over the tendon, and pain with palpation and slight extension.