What’s the best maneuver for reducing a dislocated shoulder? My guess is as good as yours. There are multiple maneuvers that work - and work well for anterior (AKA anterior-inferior) dislocations. This episode reviews how to manage shoulder dislocations in the Pediatric population.
It is much more common for children to break a finger than dislocate one. Why? Those darn growth plates. Nevertheless reducing a dislocated digit is one of the most common emergency procedures around and can generally be performed without much difficulty. However there are some situations where you shouldn’t just yank in the digit. Learn about these situations and more in this episode.
Reducing a dislocated patella is super satisfying - both for the clinician and the patient. This episode reviews management of this common orthopedic concern so that you can perform a reduction maneuver without needing to call Orthopedics.
Never has there been a more anachronistic name for such a common malady. Hailing from the time when the wealthy had female domestic workers who cared for children within their large household, this outmoded eponym describes a common orthopedic condition that impacts young children. I’ll cast my vote for calling it “pulled elbow” like they do in Australia - because it describes when happens when the radial head subluxes from its usual position nestled in the annular ligament. This episode discusses the diagnosis and management of this can’t miss condition, that I suspect our residents and students aren’t seeing as much as they should.
I've got a mini-season of podcast episodes focused on common joint reductions in children. These remain on the procedure competency list for pediatric residents from the ACGME, and can all be done without Orthopedics.
Greenstick fractures are incomplete long bone fractures that are seen in grade school age kids. Learn all about them in - Fracture Fridays: Snapped like a twig
You can think of the talus as the "scaphoid of the foot." These fractures can be difficult to diagnose and need immediate Orthopedic consultation in many cases.
You can't miss the Seymour Fracture - a combo of displaced physeal fracture ands nailed laceration that can have significant complications if not diagnosed and managed appropriately.
Avulsion fractures of the tibial tuberosity are super painful - learn more about them in this edition of Fracture Fridays.
The trampoline fracture is a well known entity that involves the proximal tibia. Learn all about it in this edition of Fracture Fridays.