Orthopedics

Critical Cases: Not Just an Ankle Sprain! Demystifying the Maisonneuve Fracture

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!"

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Advanced Practice - Calcific Tendonitis Can Mimic Septic Arthritis!

A 63 yo male presents complaining of severe pain to the right shoulder. He has markedly restricted range of motion in the shoulder, without any overlying erythema, edema, or warmth. You take a cursory glance at the xray as you gather supplies to perform an arthrocentesis for suspected septic arthritis...

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Back to Basics: Swollen Joint

A 64M with history of opioid use disorder, HCV, HTN presented to the ED with left knee pain and swelling 10 days after mechanical fall onto that knee.  He was unable to bear weight.  His knee was extremely swollen with an effusion, warm, and he had severe pain with any ROM of the joint.  His X-ray negative for fracture.  What else could be causing this patient's swollen painful knee?

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Critical Cases - Ankle dislocation!!

It's an ice storm in South Jersey! Thirty-four (34!) patients present within 4 hours with slip and falls and a veritable menagerie of orthopedic injuries. You see a 29 yo male who everted his ankle on the sidewalk. There is an obvious deformity. Should we order an xray and then call the orthopedics resident? No! We're going to reduce, splint, and discharge this patient ourselves....

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