Mount Sinai EM

DECEMBER 27, 2022

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. Normal Lisfranc joint and ligament.

Dislocations 130

Dislocations Fractures Operations Radiology 130

Pediatric EM Morsels

SEPTEMBER 22, 2023

Most commonly caused by fracture or dislocation of vertebrae. Pathophysiology Primary injury happens at the time of the traumatic event or shortly after in the high cervical to mid-thoracic spine. This leads to descending sympathetic tracts being disrupted. Secondary spinal cord injury occurs hours to days after the initial insult.

Shock 300

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 300

Pediatric EM Morsels

MARCH 31, 2023

Loss of cervical lordosis Concerning mechanism Remember: CT will help identify bony injury, however MRI is the better test to assess for ligamentous injury as well as spinal cord injury Below is an example of a Hangman’s Fracture (See Cervical Spine Fractures ). Moral of the Morsel You eyes may deceive you!

Fractures 130

Fractures Dislocations Pediatrics Radiology 130

EMergucate

JULY 9, 2012

Triquetrum fracture / dislocation or carpal ligamentous injury stage III – stage II injury + dislocated triquetrum; can be associated … Continue reading →

Dislocations 40

Dislocations Fractures 40

ALiEM

AUGUST 7, 2023

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.

Dislocations 98

Dislocations Academics Fractures Emergency Department 98

Cook County EM Blog

MARCH 28, 2023

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).

Dislocations 52

Dislocations Ultrasounds Fractures Radiology 52

Mount Sinai EM

JANUARY 11, 2023

In: Sherman SC. Simon’s Emergency Orthopedics, 8e.

Radiology 130

Radiology Radiology Fractures Dislocations 130

Mind The Bleep

MAY 1, 2024

Whether you’re interested in orthopaedics or not, knowledge of basic fracture management can be useful in any ED. Examination of a fractured limb Most patients will be in a lot of pain. If the limb is pale and pulseless this needs urgent referral to vascular as well as orthopaedics and the fracture needs reducing immediately.

Fractures 52

Fractures Documentation/Coding Head Injuries Dislocations 52

Emergency Medicine Cases

FEBRUARY 25, 2020

Which proximal humerus fractures are likely to require surgical management? What is the best x-ray view to diagnose a sternoclavicular dislocation? What are the surgical indications for clavicle fractures? What are the surgical indications for clavicle fractures? and many more.

Fractures 52

Fractures Dislocations Ultrasounds EMS 52

EB Medicine

JUNE 1, 2018

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse. Management of prehospital shoulder dislocation: feasibility and need of reduction.

Dislocations 40

Dislocations Emergency Department Fractures Research 40

Mount Sinai EM

AUGUST 13, 2023

Background Hip fractures are a very frequent presentation, even in non trauma centers. Adequate pain control, and early surgical treatment and mobilization are the main goals of hip fracture treatment; to reduce complications including infections, DVT and delirium.

Fractures 100

Fractures Dislocations Operations Ultrasounds 100

RebelEM

JANUARY 30, 2023

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?

Dislocations 58

Dislocations Outcomes Emergency Department Research 58

EMergucate

AUGUST 2, 2024

Monteggia fracture-dislocation. There is fracture involving proximal third of ulna & disruption of radio capitellar line indicating dislocation of the … Continue reading →

Dislocations 52

Dislocations Fractures EMS 52

Taming the SRU

OCTOBER 1, 2024

Look for the light bulb sign and always evaluate with scapular 'Y' view Lateral ankle fractures are classified by the Weber Classification, which is based on fracture location relative to the tibiotalar joint line A Jones fracture is a fracture at the 4th/5th metatarsal articulation. C above historical average.

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Dislocations Fractures Poisoning Academics 73

Life in the Fast Lane

JULY 20, 2024

Eponym: Monteggia fracture (1812) ulna fracture, radial head dislocation Mike Cadogan Giovanni Battista Monteggia Giovanni Battista Montéggia (1762-1815) was an Italian surgeon.

Dislocations 52

Dislocations Fractures 52

Taming the SRU

MAY 22, 2023

Ankle fractures are the third most common fracture in the ED [2] and more than 20,000 patients are seen in the ED for ankle sprains each day [3]. traumatic axial loading with calcaneal fractures, pilons, and vertebral compression fractures) [5]. Gross deformities often suggest fracture or dislocation [Image 2].

Fractures 76

Fractures Dislocations Operations Radiology 76

Taming the SRU

JANUARY 24, 2024

Orthopedic Injuries Quick Hits Upper Extremity Injuries Galeazzi Fracture How? fracture of distal 1/3 of radial shaft w/ distal radioulnar joint injury Management? reduction, elbow cast, +/- ORIF Monteggia Fracture How? fracture of proximal 1/3 of ulna w/ radial head dislocation Management? FOOSH What? FOOSH What?

Fractures 87

Fractures Leadership Dislocations Resuscitation 87

EMergucate

JANUARY 29, 2024

The wrist x-rays show multiple fractures but the main injury is trans scaphoid perilunate dislocation. There are also fractures involving … Continue reading →

Dislocations 52

Dislocations Fractures EMS 52

Life in the Fast Lane

JULY 26, 2023

Pramod Chandru Network Five: Orthopaedics Network Five Emergency Medicine Journal Club Episode 22 - Orthopaedics reviewing papers on vascular injuries from knee dislocations, distal radius fractures and all things pelvic binders!

Dislocations 52

Dislocations Fractures 52

Board Bombs

FEBRUARY 5, 2023

It's all in the hips- fractures and dislocations. It's all in the hips- fractures and dislocations. Check out our interactive question bank podcast- the FIRST of its kind here: emrapidbombs.supercast.com. As Shakira says, the hips don't lie. So we've packed a lot of truthful information into this podcast. Episode 164.

Dislocations 52

Dislocations Fractures 52

EMDocs

MARCH 30, 2024

3,4 Risk factors include engaging in high energy activities, consumption of large amounts of alcohol, osteoporosis, and previous thoracic or lumbar fractures. 10 Spinal Fracture Classification 11 There are multiple different classification systems available. Spine fracture. The spinal canal houses the spinal cord. J Emerg Med.

EMS 91

EMS Fractures Emergency Department Dislocations 91

ACEP Now

MARCH 15, 2024

3 Tenderness over the distal radial metaphysis after wrist injury is strongly suggestive of a distal radius fracture despite normal plain radiographs and fluoroscopic images. Children and older adults have weaker long bones than young adults and are more likely to sustain a distal radius fracture after a FOOSH than a carpal bone injury.

Fractures 52

Fractures Dislocations EMS Emergency Department 52

Taming the SRU

MAY 23, 2023

fractures of the talar body, talar neck, and calcaneus require high-impact trauma). Stress fractures are caused by repetitive microtrauma and stress on the bone, and therefore present with more subacute or chronic symptoms. Gross deformities often suggest fracture or dislocation. Range all joints.

Fractures 57

Fractures Dislocations Operations EMS 57

Taming the SRU

OCTOBER 20, 2023

Study Design A prospective study from a single ED in Belgium enrolled adults presenting to the ED within eight days after an acute injury with negative X-ray findings and a positive lever sign, Lachman test, or anterior drawer test, thus indicating clinical suspicion of ACL injury.

Fractures 95

Fractures Dislocations Emergency Department 95

EMergucate

JANUARY 16, 2021

The elbow x-rays show a Monteggia fracture dislocation. There is a fracture of the proximal ulnar shaft with a dislocation … Continue reading →

Dislocations 40

Dislocations Fractures EMS 40

ALiEM

DECEMBER 22, 2023

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.

Fractures 64

Fractures Dislocations Academics Radiology 64

Emergency Medicine Journal

OCTOBER 26, 2023

Terrible triad injury Monteggia fracture-dislocation Isolated radiocapitellar dislocation Occult supracondylar fracture Answer C (Isolated radiocapitellar dislocation) Discussion Plain radiographs showed radiocapitellar line (RCL) malalignment in both the lateral and anteroposterior views ( figure 2 ), suggesting anterior radial head dislocation.

Dislocations 40

Dislocations Fractures Emergency Department 40

EMergucate

MARCH 22, 2020

The elbow x-ray shows a fracture involving the olecranon process. There is also radial head dislocation (radiocapitellar line is broken). … Continue reading →

Dislocations 40

Dislocations Fractures EMS 40

EM Curious

JULY 11, 2015

His x-ray imaging is seen below: View fullsize View fullsize Click on images above to enlarge Diagnosis: Volar Lunate Dislocation Lunate dislocation is an uncommon traumatic wrist injury that is often a result of high energy trauma from loading of a dorsiflexed wrist along with forced ulnar deviation (i.e References: Sherman, S.

Dislocations 52

Dislocations Emergency Department Fractures Outcomes 52

Taming the SRU

JANUARY 10, 2024

Final protocol will be published on Taming’s Clinical Guidelines in the coming months panorex WITH dr. urbanowicz Orthopantomography (OPG): specially protocoled panoramic radiographic tool which can visualize the teeth, mandible, upper limits of maxilla Convenient, inexpensive and rapid way to evaluate gross anatomy of jaws and related pathology Limitations: (..)

EKG/ECG 92

EKG/ECG Shock Fractures Emergency Department 92

Pediatric Emergency Playbook

NOVEMBER 1, 2016

Pediatric Elbow Films: Putting It All Together Watch this dynamic video by Dr Jeremy Jone s from Radiopaedia : Fracture Saviors: Fat Pads and Drawn Lines These three things can save us: fat pads, the anterior humeral line, and the radiocapitellar line. If not, assume a fracture-dislocation.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

EMergucate

NOVEMBER 28, 2020

The wrist x-rays show a trans-scaphoid peri-lunate dislocation. There are fractures involving the radial & ulnar styloid, mid-scaphoid, and triquetrum … Continue reading →

Dislocations 40

Dislocations Fractures EMS 40

ACEP Now

OCTOBER 15, 2023

Fracturing the larynx requires considerable force, and the great majority of fractures are from blunt high-velocity trauma. Is there an open neck wound or palpable cartilage fracture? Reconstructive computed tomography can assess the laryngeal framework to avoid missing laryngeal fracture and, hopefully, long-term comorbidities.

Fractures 52

Fractures Dislocations Airway Management Operations 52

EMergucate

SEPTEMBER 16, 2012

Monteggia fracture dislocation was first described in 1814 by Giovanni Battista Monteggia, 81 years before Roentgen described use of Xrays for medical … Continue reading →

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Dislocations Fractures EMS 40

Emergency Medicine Cases

JANUARY 24, 2017

Arun Sayal and Hossein Mehdian answer questions such as: When should we suspect a spontaneously reduced knee dislocation? Do all patients suspected of a spontaneous knee dislocation require a CT angiogram to rule out vascular injury? Which patients with a low energy mechanism are at risk for knee dislocation and vascular complications?

Soft Tissue Injuries 52

Soft Tissue Injuries Dislocations Ultrasounds Fractures 52

Taming the SRU

NOVEMBER 6, 2024

Beyde, artiga, and vaishnav Shoulder Dislocations Shoulder dislocations are easily diagnosed via ultrasound, with high sensitivity and specificity. Shoulder reductions can often be performed without sedation using an intra-articular injection.

Leadership 52

Leadership Dislocations Fractures COPD 52

Emergency Medicine Cases

JANUARY 2, 2024

Triquetrum chip fractures, scapholunate injuries, hook of the hamate fractures, and of course, scaphoid fractures can be easily missed with serious consequences for our patients.

Fractures 52

Fractures Wellness Dislocations EMS 52