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Proximal Tibiofibular Joint Dislocation in Children

Pediatric EM Morsels

Evaluating the limping child , though, requires us to ponder not only the common (ex, Toddler’s Fracture ), but also to be vigilant for the severe (ex, Septic Arthritis ). Horan, 2006 ] Anatomy of the PTF Joint [ Cunningham, 2019 ] The PTF joint is a synovial joint between the lateral condyle of the tibia and the head of the fibula.

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Neurogenic Shock in Children

Pediatric EM Morsels

Most commonly caused by fracture or dislocation of vertebrae. McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. McGraw Hill Education; 2019:125-138 Ziu E, Mesfin FB. Pathophysiology Primary injury happens at the time of the traumatic event or shortly after in the high cervical to mid-thoracic spine. 5 th Edition.

Shock 304
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The Ankle Radiograph

Mount Sinai EM

McGraw Hill; 2019. In: Sherman SC. Simon’s Emergency Orthopedics, 8e. Accessed January 04, 2023. link] Feger J, Knipe H, El-Feky M, Tibiofibular overlap.

Radiology 130
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Traumatic Lens Dislocation Identified on Ocular Ultrasound

Cook County EM Blog

The Case: The patient is a 61-year-old male with non-insulin dependent diabetes, hypertension, coronary artery disease status post CABG in 2019 who presented with blurry vision of the left eye after being hit on the face with a blunt object by his roommate approximately ten days prior to presentation. and a sensitivity of 96.8% (2).

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SAEM Clinical Images Series: Enigmatic Traumatic Hip Pain

ALiEM

The patient reported a history of falls resulting in shoulder, rib, and left hip fractures in the past. Occult femur fracture Occult fractures are defined as fractures that cannot be detected by standard radiographic examination until weeks after the injury either due to lack of displacement or limitations of the imaging study.

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How Common Is Recurrent Radial Head Subluxation?

Pediatric Education

If there is any concern for significant trauma including potential fracture, the elbow should be stablized and radiographs obtained, before attempting RHS reduction maneuvers. If there is a fracture or it is unclear if there is a fracture, then the elbow should be stabilized and orthopaedics consulted. had 2 relapses, 4.4%

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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Labs do not play a significant role Imaging X-ray : Start with plain films to look for fracture near laceration, intra-articular free air, radiopaque foreign body. US : under studied but not routinely recommended A 2019 study evaluating use of US in cadavers found a sensitivity of 65% and specificity of 75%. 2019 Jun;23(2):59-61.