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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Yes, we’re talking about your clavicular , proximal humeral, supracondylar, lateral condylar , scaphoid and metacarpal fractures. Today, we want to focus on a couple of our good friends, buckle and greenstick forearm fractures. Pediatric patients have unique bony anatomy and physiology compared to the skeletally mature. West, 2005.

Fractures 290
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Common traumatic pathologies 

Mind The Bleep

In this injury, there is a fracture of the orbital floor and the inferior orbital rim remains intact. The “teardrop sign” is a radiological sign of inferior orbital wall fractures in which intraorbital fat +/- inferior rectus muscle herniates through the fracture. Teardrop sign (inferior orbital wall fracture).

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Episode 11: Gentle Patient Handling

PHEM Cast

An injury involving only the anterior column is considered to be stable, as will an isolated fracture of a spinous or transverse process. British Orthopaedic Association Standards for Trauma (BOAST); 2008. 2008 Apr 15;5(3):214–9. 2008 Apr 22;178(9):1141–52. BOAST2: SPINAL CLEARANCE IN THE TRAUMA PATIENT. Acad Emerg Med.

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High Pressure Injection Injury

Cook County EM Blog

X-rays showed radiopaque foreign bodies confined to the distal thumb without fracture. 2008 Apr;3(1):27-33. Epub 2008 Feb 2. 2008 Jan;12(1):33-6. 2008 Dec;3(4):340-5. Epub 2008 May 28. There were no signs of infection, compartment syndrome, tissue necrosis, or limb ischemia. Strategies Trauma Limb Reconstr.

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Mastering Minor Care: Paronychia and Felon

Taming the SRU

Before definitive management, X-rays of the affected finger should be considered, especially in cases where there is suspicion for a foreign body or clinical concern for associated fracture, osteomyelitis, or necrotizing soft tissue infection [17]. 2008 Sep;122(3):105e-117e. New York: McGraw-Hill Education. [2] An algorithmic approach.

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Annals of B Pod: Phlegmasia Cerulea Dolens

Taming the SRU

Notable Diagnostics CBC : unremarkable, BMP : unremarkable X-ray imaging of the left hand, wrist, and forearm: chronic degenerative changes without acute fracture or bony abnormality. 2008 Aug;6(8):1262-6. Epub 2008 May 15. The remainder of the physical examination is unremarkable. Epub 2020 Nov 25. J Thromb Haemost.

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Diagnostics and Therapeutics: Vascular Access in the Emergency Department

Taming the SRU

Contraindications to placing an IO include a prior attempt at the same site, known orthopedic fracture or local hardware, overlying skin infection, and structural bone disease such as osteogenesis imperfecta (6). 2008 Jan;26(1):31–8. Li Y, editor. 2019 May 31;14(5):e0217629. Von Hoff DD, Kuhn JG, Burris HA, Miller LJ. Am J Emerg Med.