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Shoulder Dislocation on Ultrasound

Cook County EM Blog

You suspect a shoulder dislocation. Radiology is called to conduct bedside x-ray prior to reduction. So, you reach for your ultrasound… Why It Matters : Shoulder dislocations are a common presentation to the emergency department and account for approximately 200,000 visits annually [1].

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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.

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SGEM#398: Another Ab Gets BUSED – POCUS in the ED for Biliary Disease

The Skeptics' Guide to EM

Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions. Ultrasound is usually the first line imaging modality for diagnosing acute biliary disease.

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Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

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.

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. doi:10.1148/radiology.144.4.7111716 Accuracy of Ultrasound in Diagnosis of Pneumothorax: A Comparison between Neonates and Adults-A Systematic Review and Meta-Analysis. The "lung point": an ultrasound sign specific to pneumothorax.

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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

If thinking TA, share your concern with radiology, which improves sensitivity. Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? 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. J Orthop Trauma. 2013 Sep;27(9):509-14.