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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Yes, we’re talking about your clavicular , proximal humeral, supracondylar, lateral condylar , scaphoid and metacarpal fractures. Today, we want to focus on a couple of our good friends, buckle and greenstick forearm fractures. Pediatric patients have unique bony anatomy and physiology compared to the skeletally mature.

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What Is: A Hinge Fracture Of The Skull?

The Trauma Pro

Recently, while reading an autopsy report, I ran across the term “hinge fracture of the skull.” A hinge fracture crosses the skull base transversely and involves the temporal and sphenoid bones. Here are diagrams of two common transsphenoidal fracture patterns, courtesy of radiopaedia.org. ” What?

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The Role Of Postop CT Scan In Penetrating Trauma

The Trauma Pro

Here are the factoids: Only 110 patients had a postop CT scan; 73 had scans within the first 24 hours, the other 37 were scanned later The rationale for early scan was to investigate retroperitoneal injury in half of patients, but frequently no indication was given (41%) The rationale for late scan was for workup of ileus in one-third or for evaluation (..)

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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.

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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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Fractures App

Life in the Fast Lane

Mike Cadogan Fractures App The Fractures App is yet another fantastic, simple and effective bedside app created by Tom Fadial and Spencer Tomberg

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Pelvic Fracture Intervention And Venous Thromboembolism Risk

The Trauma Pro

Earlier this year, I wrote a series of posts on the two commonly used pelvic fracture interventions: preperitoneal packing (PPP) and angioembolization (AE). Patients with pelvic fractures are already at high risk for it. But what about venous thromboembolism risk?

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