Medical Music Mondays: Hip Pain Blues
The Kocher criteria can help you rule out a septic hip. Transient Synovitis is a much better diagnosis. It used to be called Toxic Synovitis, but that name was too scary so it got changed.
The Kocher criteria can help you rule out a septic hip. Transient Synovitis is a much better diagnosis. It used to be called Toxic Synovitis, but that name was too scary so it got changed.
Acquired torticollis is a self limited spasm of the neck muscles - often he sternocleidomastoid - that responds well to ibuprofen, heat, and gentle massage and stretching exercises. I thought you'd appreciate the "wry" sense of humor in the album cover...
Supracondylar fractures of the humerus occur after a fall onto an outstretched hand in children. Learn about the classification and management in this "Fracture Fridays" post.
5th metatarsal fractures should be suspected in athletes injuries during a sudden change in direction with the heel off the ground. Most have pain along the lateral edge of the foot, with difficulty weight-bearing.
The Jones fracture is a fracture of the 5th metatarsal. It has a high rate of non-union and you should involve Orthopedics in the near term after managing the injury in the ED.
There are several decision rules for ankle injury X-Rays in children. Ankle fractures occur most commonly in 10-15 year olds, and usually result from an inversion injury mechanism. Sprains are far more common and usually involve the anterior talofibular ligament. Let's briefly review some of the existing rules that we use to (hopefully) help us order fewer ankle X-Rays.
Proximal humerus fractures in children are generally managed non-operatively and have a great prognosis.. Learn about the diagnosis and management in this Fracture Fridays post.
High ankle sprains are injuries to the distal ligament between the tibia and fibula (syndesmosis) and are seen in American football and hockey players. Learn about the diagnosis and management in this very brief review.
What happens when kids jump of things and don't land smoothly? They break things. Sometimes those things are their arms. Learn more about a very common pediatric fracture in this edition of Fracture Fridays.
You definitely need to know how to apply the Kocher criteria to differentiate the septic hip from transient synovitis. There's a great online tool at MD Calc for just that.