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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Advanced Practice - Missed Orthopedic Injuries in the ED!

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.

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Direct Measurement of Compartment Pressure Using a Stryker Device

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

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Board Review: Orthopedics

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

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