Orthopedics

Critical Cases: Tips for a Perfect Reduction

Do you feel like you pour your heart, soul, blood, sweat, and tears into your fracture/reductions and still come up short? Does the orthopedics consultant always want to "re-do" your attempt? Here is a repost of a podcast interview between former Cooper EM resident Patrick Sheehan, former Cooper Orthopedics Resident Joseph Legatol on how to get a perfect reduction. Inside the interview are 5 tips on positioning yourself for success. Also included is a video of Dr. Sheehan giving an example of "exaggerating the injury" of a distal radius fracture for a more successful reduction. 

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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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Back to Basics: Pseudogout

 

Pseudogout

· Aka Calcium Pyrophosphate Deposition Disease (CPPD)

· Findings:

o Deposits of calcium pyrophosphate crystals within the joint space-> seen as chondrocalcinosis (calcification of the cartilage) on x-ray

· Affected Groups:

o Age >50 years

o Both genders impacted equally

o Hemochromatosis

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Critical Cases - Back pain bounceback!

A 55 year old male presents to the ED with complaints of anterior chest pain radiating through to the thoracic area X 2 days...you mentally run through a check list of the potential "red flag" signs/symptoms for serious back pain before you enter the room. Will this be another benign musculoskeletal pain or something more sinister?

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