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Elbow Dislocations

RebelEM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

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Back Braces: Are They Really Needed?

The Trauma Pro

Many vertebral fractures can be treated non-operatively. The first was published in 2016 and examined papers comparing postop bracing vs. no postop bracing. World Neurosurg 93:221-228, 2016. Post-operative bracing after pedicle screw fixation for thoracolumbar burst fractures: A cost-effectiveness study.

Fractures 203
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Lisfranc Injury

Mount Sinai EM

Illustration by Yvonne Chow The Lisfranc Injury The lisfranc injury is any disruption of the joint and is a spectrum including ligamentous injury, dislocations and fractures. High energy mechanisms, such as MVCs or falls, are more likely to cause fracture-dislocations. Print publication year: 2016 273 – 310.

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Case Report: a High-Voltage Victim

ACEP Now

4,5 High voltage injuries can throw a victim from the electrical source, lead to falls, and cause forceful tetany with spinal hyperextension injuries or joint dislocations. In the operating room, there was minimal urinary output and the bladder pressures were 35 mmHg under sedation and analgesia. McGraw Hill; 2016.

Burns 52
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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

Answer : Posterior dislocation of a periprosthetic hip Epidemiology: Total Hip Arthroplasty (THA) is the 4 th most common surgical procedures in the United States (2.3% 4 Pain is the most common reason for presentation in the early post operative period. 5-7 Dislocation rate as high as 28% in revision THA. 10% of patients.

EMS 98
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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

4 This is the framework the ED resuscitationist should be operating under, as hemodynamically unstable pelvic trauma patients require a different approach compared to stable patients who will undergo CT, routine pelvic fixation, and definitive surgical repair. Figure 2: Open book pelvic fracture.

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

Abnormal neurovascular findings suggest injury to nearby structures (nerves and blood vessels) from dislocations, bony trauma, or increased compartment pressures. Gross deformities often suggest fracture or dislocation [Image 2]. Impaired ROM can be indicative of dislocation, ligamentous injury, or intra-articular pathology.