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

Orthopedic

Podcast #215: Ankle Pain

Author: Donald Stader, M.D. Educational Pearls: The most common ankle injury mechanism is an inversion. Most common broken bone in the ankle is the fibula. During exam, it is important to palpate over the fibular head, medial and lateral malleoli, over the 5th metatarsal and over the cuboid bone. If no tenderness in these areas…

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Podcast #207: Boxer’s Fracture

Author: Sam Killian, M.D. Educational Pearls: Defined as fracture of neck (distal segment) of 5th metacarpal. Intrinsic muscles of hand pull segment to palmar aspect of hand. 30 degrees of angulation is allowed. Any more increases risk of chronic pain, grip strength and grasping deficits, and rotational deformities. Reduce fracture if more than 30 degrees…

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Podcast #200: Non-traumatic Back Pain

Author: Don Stader M.D. Educational Pearls: Non-traumatic back pain is a very common complaint in the Emergency Department. Conditions that can manifest with back pain include: ruptured abdominal aortic aneurysm, retroperitoneal bleeding, cauda equina syndrome, epidural abscess or cancer. Patients with cauda equina syndrome or epidural abscess prefer to sit forward, while people with disc…

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Podcast #191: Blunt Cervical Trauma

Author: Chris Holmes M.D. Educational Pearls: Mechanism of injury involves hyperextension/hyperflexion Pathophysiology: inside of the arteries in the neck becomes disrupted, similar to a dissection. This is thrombogenic and leads to cerebral infarction Neurologic deficit is common. Other risk factors include facial fracture and cervical-spine fracture. Treat with anticoagulation – aspirin or other antiplatelet agents…

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Podcast #176: Football Injuries

Run Time:  4 minutes Author: Michael Hunt M.D. Educational Pearls: Stinger – a stretch of cervical nerves from a lateral blow to the head and causes immediate pain and numbness in the arm. There is no specific treatment, and symptoms last seconds to minutes or as long as a few days. A small percentage of…

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Podcast #174: Cervical Spine

Run Time:  5 minutes Author: Dylan Luyten M.D. Educational Pearls: Cervical spine immobilization is a big change in the EMS protocol over several years. Cervical collars were developed for rehabilitation after neck or spine surgery, but became a tool for prehospital treatment of undifferentiated trauma patients that may or may not have injured the neck….

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Podcast #149: TMJ Dislocation

Run Time: 3 minutes Author: Jared Scott M.D. Educational Pearls: TMJ dislocations are generally a rare occurrence. Connective tissue disorders such as Ehlers-Danlos syndrome and Marfan syndrome increase the likelihood of dislocation. TMJ dislocations can occur after benign activities such as eating, yawning, vomiting, dental treatment, and laughing, but also occur after trauma. Three common…

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Podcast #148: Knee Dislocation

Run Time:  4 minutes Author: Samuel Killian M.D. Educational Pearls: A true knee dislocation and a patellar dislocation are slightly different conditions. A true knee dislocation is the translation of the femur and the tibia – described as anterior/posterior, posterior/anterior, medial/lateral. Knee dislocations occur after a high force blow to the leg. 50% of the…

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Podcast #143: Calcaneal Fractures

Run Time: 3 minutes Author: Eric Miller M.D. Educational Pearls: The Calcaneus is like the wrist bone of the ankle. It is one of the tarsal bones in the foot and articulates with the talus superiorly and cuboid anteriorly. Usually the mechanism for a calcaneal fracture is a fall from significant height. The Sanders scale…

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