Snow day for the Cooper EM Residents! Instead of today's conference pearls we finish out our trauma/orthopedic module from January with a high yield summary of clinically useful hand pearls from our awesome new hand surgeon Dr. Nicole Jarrett's lecture!
Supracondylar fractures are the most common upper extremity fracture in the pediatric population therfore every emergency medicine provider should be deeply familiar with the known complications of such pathology. This post will introduce the types of supracondylar fractures and known complications.
Do you sound like a first year medical student when discussing hand injuries by phone with consultants? Forget all the tendon anatomy you crammed for in anatomy? FDP? FDS? FPL? Then check out this post for a "Back to Basics" online hand exam lecture by Dr. Fred Heckler from UPMC.
Independently interpreting plain film imaging is an essential skill for the Emergency Medicine provider. Among the most notorious of injuries likely to be missed is the Maisonneuve fracture. In this post we demonstrate the "can't miss" imaging findings to ensure that you don't make the mistake of thinking this is "just an ankle sprain!"
Case: 24 year old male with no significant past medical history presents to local urgent care with chief complaint of left knee pain. Patient reports playing basketball just prior to arrival and reports landing on left knee and "jamming it."
Your patient in the Emergency Department has a Zone II or Zone III finger amputation which requires primary closure of the wound prior to discharge with appropriate outpatient follow up. However, a protruding piece of bone often prevents closure of the skin flap and requires trimming by using a rongeur. While this process is typically carried out by an orthopedic or hand surgical consultant, this post aims to introduce the use of a ronguer during management of finger amputation in the Emergency Department.
You have made the diagnosis of disseminated gonococcal infection in your patient presenting with history and physical exam findings suggestive of purulent arthritis, now what? Treatment for gonococcal arthritis goes beyond the one-time "shot and a pill" given for uncomplicataed gonococcal infections. A quick review of disseminated gonococcal infection: