The case A 15 year old skateboarder totally screws up a rail grind. After posting his wipeout to YouTube his friends call his mom, who notices that he has been unable to walk on his ankle - probably because of how ridiculously swollen it is. A gnarly swollen ankle You get an XRay, because that's what you do... [...]
The case A preschooler was riding his big sister's "girl" bike, crashed it and landed on his outstretched hand. A true FOOSH if you will (fell on outstretched hand). His mom brought him to the ED because he was having trouble holding his iPad with the injured arm. An X-Ray is obtained. The Diagnosis This is a buckle or torus [...]
Did you know that there is a regular feature on PEMBlog called Fracture Fridays? Did you know that these posts are about fractures, and that they are released on Fridays? OK, so that last question was a bit pandering, of course you did. Well then, why don't you check out a few of my favorite posts from the past couple [...]
The case An infant presents with swelling of the ankle after being picked up from the babysitter. He has been able to pull to stand and cruise for a while now, but appears to be in pain when he attempts to bear weight after he pulls up to stand. X-Rays reveal the following. Diagnosis This is a metaphyseal corner fracture. [...]
The case(s) You are seeing a pair of siblings that crashed into each other while jousting on their bikes. They were wearing helmets but both sustained forearm injuries. Both have swollen, tender forearms and you get X-Rays. And, no, there is not a BOGO discount. The Diagnosis Both patients have forearm fractures. Patient A has a buckle, or torus fracture. This [...]
The Case After successfully reducing the shoulder of a young athlete - his fourth, your first. He says the the last 2 times he dislocated it was reduced by his team trainer on the sidelines. You obtain XRays and note the following. Courtesy of Wikipedia The Diagnosis This is a Bankart lesion. Note the abnormality in the inferior [...]
People punch things. Sometimes they break their hands. This post is about those people.
For this edition of Fracture Fridays I'd like to share a brief (seriously <1 minute) video on reducing the dislocated patella.
The Case An 18 year old football player presents to the ED 2 days after a thumb injury. He says he hyperextended it while trying to make a tackle. He saw his PMD the next day, and despite pain in his thumb, the X-Rays were read as negative by his PMD. He was cleared to return to play, but had [...]
The Case A 14 year old male was tackled while playing football and has pain along the angle of his jaw. He can open and close his mouth without pain. He does have pain to palpation along the body of the mandible adjacent to 2nd/3rd left inferior molars. There are no loose teeth and he feels that they are in normal [...]
