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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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Tibial Tubercle Avulsion Fracture

Pediatric EM Morsels

We have previously discussed how the surrounding ligaments and tendon are often stronger than the weakest part of the child’s bone necessitating our vigilance when addressing the pediatric extremity complaint (ex, Ankle Pain , Elbow Injury , Supracondylar Fractures ). Of course, we cannot assume all anterior knee pain is benign.

Fractures 130
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EM@3AM: Pneumocephalus

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 3 cm scalp laceration is noted, and a CT scan of the head shows a linear nondepressed skull fracture in the area of the laceration without evidence of intracranial hemorrhage. This is considered an open fracture.

EMS 119
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Twists and Turns: Identifying Maisonneuve Fractures in the ED

Taming the SRU

This places a significant responsibility on the EM physician to diagnose and treat fractures. Specifically, EM physicians should be able to recognize fractures that will likely require operative management and facilitate close follow up, such as a Maisonneuve fracture.

Fractures 101
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EM@3AM: Flexor Tendon Laceration

EMDocs

We’ll keep it short, while you keep that EM brain sharp. A 41-year-old male with no significant past medical history presents with a deep hand laceration. The patient states they were cutting an avocado when the knife pierced through and punctured his hand.

EMS 95
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Serratus Anterior Plane Blocks for Rib Fractures in the ED

Taming the SRU

Ultrasound‐Guided Serratus Anterior Plane Block (SAPB) Improves Pain Control in Patients With Rib Fractures. This topic is important because of the high incidence of rib fractures in trauma patients and their association with increased morbidity and mortality. Ultrasound Med. 41, 2695–2701 (2022). Why do we care? SD 3.28) and 6.5,

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REBEL Core Cast 116.0 – Achilles Tendon Rupture

RebelEM

Schedule follow up with orthopedics within 1 week for discussion of operative management vs early rehab protocols. Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation.J Clin Orthop Relat Res 2012; 470(8): 2268-2273. Bone Joint Surg Am.