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?
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....
55 year old female presenting with left knee pain after a fall. Patient appears intoxicated and states she tripped and fell. No preceding symptoms or head trauma. Pain is 5/10. She has not been able to ambulate since the incident. On exam the patient is neurovascularly intact.
A 21 year old otherwise healthy female presents to the ED after an MVC. She reports that she was driving when the car was hit in traffic. During your physical exam, you notice the finding below. An X-ray of the foot is negative for fracture. What is the best test to evaluate this injury?
19-year-old male with past medical history significant for seizures presents with right shoulder pain. He woke up from sleep with the pain. It is 10/10 and worse with movement. He has multiple prior episodes for which he has been treated for in the ED.
A healthy 23 yo male presents after injuring his knee playing soccer. He is complaining of inability to completely extend his knee. "It's stuck." he reports to the triage nurse. "That seems like a problem..." you think to yourself as you enter the room. How did this happen? How do I unstick his knee? Read on for some quick pearls on the "locked knee."