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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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Fix that jaw drop: mandible dislocation management

Mount Sinai EM

Let’s talk about mandible dislocations & how we can reduce them. First, we need to take a look at the mandible anatomy – can refer back to this as we discuss mandible dislocation: So how does the mandible dislocate (also called temporomandibular joint dislocation)? Iatrogenic : ex.

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Consultant Corner: Acute Management of the Dislocated Knee

Taming the SRU

Acute knee dislocations are rare orthopedic injuries that have high morbidity and need to be recognized quickly by the emergency physician; if unrecognized or inadequately treated, these injuries can lead to vascular and limb compromise (1,2). Knee dislocations make up less than 0.5% Knee dislocations make up less than 0.5%

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Novel Hip Reduction Technique: The Captain Morgan

The Trauma Pro

I wrote about posterior hip dislocation and how to reduce it using the “standard” technique quite some time ago (see link below). The dislocated hip and the knee are both flexed to 90 degrees. The failure occurred due to an intra-articular fragment, and that hip had to be reduced in the operating room.

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Back Braces: Are They Really Needed?

The Trauma Pro

Many vertebral fractures can be treated non-operatively. Post-operative bracing after pedicle screw fixation for thoracolumbar burst fractures: A cost-effectiveness study. And I have never been able to predict which brace my spine colleagues accurately would prescribe for a specific condition or injury. J Clin Neurosci 45:33-39, 2017.

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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. Normal Lisfranc joint and ligament.

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Pericapsular Nerve Group Block (PENG block)

Mount Sinai EM

The AAOS states that “Multimodal analgesia incorporating pre-operative nerve blocks is recommended to treat pain after a hip fracture” The Pericapsular Nerve Group Bbock (PENG block) is a novel approach to provide analgesia to the hip joint without affecting the motor function of the quadriceps muscle or altering the sensory exam.

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