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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 ). Mechanism of dislocation : [ Horan, 2006 ] Typically, the injury occurs when: The Knee is in Flexion and The Foot is rotated and plantar flexed.

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US Probe: Suprapatellar Recess Injection for Chronic Knee Pain in the Emergency Department – An Effective Approach for Relief

EMDocs

X-ray shows mild joint space narrowing and osteophytes, with no fractures or dislocations. 2021 Jun 26;3(4):e1177-e1187. The contralateral knee is non-tender with full range of motion. He is neurovascularly intact distally. You reassess the patient, informing him of the negative x-ray findings, and his pain remains unchanged.

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SAEM Clinical Images Series: Back Yard Football Injury

ALiEM

Sternoclavicular (SC) joint dislocation SC joint dislocation can occur with anterior or posterior displacement of the medial clavicular head. Anterior dislocations are mostly caused by medial impact to the lateral shoulder. Anterior dislocations are more common and generally regarded as less serious.

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Traumatic Lens Dislocation Identified on Ocular Ultrasound

Cook County EM Blog

On point-of-care ocular ultrasound of the affected eye using the linear probe a round, mobile structure was noted in the posterior chamber with an absence of the lens in its typical position, consistent with posterior lens dislocation. In this case, ophthalmology was consulted for lens dislocation. and a sensitivity of 96.8% (2).

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Intra-articular Lidocaine vs Procedural Sedation and Analgesia for Closed Reduction of Acute Anterior Shoulder Dislocation

RebelEM

Background: Many clinicians have transitioned from procedural sedation and analgesia (PSA) in favor of intra-articular lidocaine (IAL) to manage anterior shoulder dislocation. PMID: 36181665 Clinical Question: In patients with acute anterior shoulder dislocations, how does IAL compare to PSA for closed reduction?

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Grand Rounds Recap 1.3.24

Taming the SRU

(ACEP, 2022 available at [link] ) In 2020, the Bureau of Labor Statistics found that health care workers make up for more than three quarters of all workplace violence nationwide, and are almost four times more likely to suffer a serious injury from workplace violence than workers in any other workplace setting Rates of violence against healthcare (..)

EKG/ECG 93
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Basics of eye trauma with emergency pathologies

Mind The Bleep

Importance: the medial wall is thin and most easily fractured. 2021) Hyphema. 2021) Ocular trauma: acute evaluation, cataract, glaucoma. Bony orbit Seven bones form the lateral and medial walls, orbital roof and floor. Serrano et al. tetracaine or 0.5% Accessed on 27.09.22 < [link] > Lippincott. Moran Core.