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

Taming the SRU

MAY 22, 2023

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.

Fractures 77

Fractures Dislocations Operations Radiology 77

The Skeptics' Guide to EM

MARCH 25, 2023

Do they need surgery, an ERCP or just analgesia and non-operative care? Many small trials have compared the accuracy of POCUS to the “gold standard” of “Radiology-performed ultrasound”. A focused Biliary US in the ED (BUSED) may be all that is required to guide the surgeon’s decision-making for this patient.

Ultrasounds 52

Ultrasounds Emergency Department Dislocations Radiology 52

EMDocs

NOVEMBER 16, 2024

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 76

EMS Dislocations Fractures Operations 76

EMDocs

JUNE 3, 2023

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. Note placement over the greater trochanters.

Fractures 54

Fractures Resuscitation Operations EMS 54

EMDocs

JUNE 21, 2023

If thinking TA, share your concern with radiology, which improves sensitivity. Common operator errors Failing to enter joint capsule before injecting STS. A 2013 study found a sensitivity of ~47% for TA of the knee using plain radiographs. Based on the data, a normal x-ray couldn’t rule it out. Not injecting enough STS into the joint.

Soft Tissue Injuries 69

Soft Tissue Injuries Fractures Dislocations Radiology 69