Orthopedic Archives - Page 2 of 3 - The Emergency Medical Minute

Orthopedic

Podcast # 498: Ortho Tips

Author: Susan Ryan, DO Educational Pearls: General orthopedic principles: Examine above and below the injury Document neurovascular status X-ray imaging typically requires three different views Fracture description should include name the bone, location of fracture, degree of displacement, and if it is closed or open Osgood-Schlatter (tibia) and Sever’s (calcaneus) disease are apophyseal injuries caused…

Read More

Podcast # 495: Trauma in the Elderly 

Author: Rachel Brady, MD Educational Pearls: Elderly patients (>65 years old) have a higher trauma mortality compared to younger patients, even though they have lower mechanisms of injury Elder trauma is often under-triaged due to low-energy mechanisms and lack of physiologic response due to age and medications such as beta-blockers. Do not be reassured by…

Read More

Podcast # 435 : UCL Injury

Author: Ryan Circh, MD Educational Pearls: Ulnar collateral ligament injury is often called gamekeeper’s thumb or skier’s thumb Can results from traumatic deviating the thumb radially (abduction) Poor rabbits Have a low threshold for referral to hand surgery for follow up – treatment for minor injuries can be conservative but more severe require surgery to…

Read More

Podcast #403: Meniscus Lock

Author: Mark Hinton, MD Educational Pearls:   Meniscus lock can occur with a tear leading to inability to extend the knee Treatment can include an intra-articular joint block followed by straightening Medial meniscus injuries are more common   References: Allum RL, Jones JR. The locked knee. Injury. 1986 Jul;17(4):256-8. PubMed PMID: 3770920. Critchley IJ, Bracey…

Read More

Podcast #382: Shoulder Separations

Author:  Ryan Circh, MD Educational Pearls: A “shoulder separation” is when the clavicle separates from the scapula – also referred to as an acromio-clavicular (AC) separation Diagnosis is clinical: pain over AC joint, pain with adduction, and difficulty raising harm past horizontal Early range of motion can be critical for recovery References: Lemos MJ. The…

Read More

Podcast #374: Iliac Artery Endofibrosis

Author:  Sue Chilton, MD Educational Pearls: An unusual cause of leg pain that can mimic sciatica/claudication Predominantly occurring in high endurance athletes, particularly cyclists and runners More common in men Check supine ABIs 1 minute after activity in the ED: a value < 0.5 is 80% sensitive   References: Mansour A, Murney S, Jordan K,…

Read More

Podcast #317: Elbow Dislocation

Author: John Winkler, M.D. Educational Pearls: -Lower mechanisms of injury have a lower chance of an associated fracture or major ligament injury. -One major concern is having a fracture fragment in the joint (can lead to chronic arthritic pain).  -Evaluation should involve checking the neurovascular status of the arm and reduce the fracture as soon…

Read More

Podcast #312: SCIWORA

Author: Sam Killian, M.D. Educational Pearls: Spinal cord injury without radiographic abnormality (SCIWORA) is a diagnosis defined as traumatic injury to spine with clinical sx of traumatic myelopathy (paraplegia, paresthesias, FND) without radiographic abnormalities. Term was established in  1970’s before MRI and accounted for about 15% of injuries at the time (mainly children). Today SCIWORA…

Read More

Podcast #294: Rhabdomyolysis

Author: Michael Hunt, M.D. Educational Pearls Rhabdomyolysis is caused by the destruction of skeletal muscle that leads to the release of myoglobin, which causes renal failure. It presents with pain and weakness in the affected muscle, as well as dark urine. Diagnosis is made with creatinine kinase levels It can happen to extreme athletes after…

Read More

Podcast #252: Mandible Fractures

Author: Sam Killian, M.D. Educational Pearls The tongue blade test is done for mandible fractures, which make up 40-60% of facial fractures. The test is done by having the patient bite down on a tongue depressor on one side of the mouth. The provider then tries to snap the tongue depressor. This is repeated on…

Read More

 

Stay up to date by
joining our mailing list!