This is the first episode of the new season from PEM Currents, the Pediatric Emergency Medicine podcast. Each episode will focus on fracture diagnosis & management from different parts of the body.
AC joint separations and sprains are more common than you'd think. And it's always better to be specific with a patent about an injury with your patients other than just saying "you sprained your shoulder."
This edition of Fracture Fridays delves into a case of a normal X-Ray, but high suspicion for a fracture.
Case 1: Shoulder the burden A 13 year old presents with right shoulder and left chest pain in the setting of fever. The exam is significant for tenderness of the right shoulder and upper arm. The initial X-rays are negative. The patient subsequently underwent an MRI. [...]