The Case A kid got his finger caught in a car door. It hurt. The nail is now "all cracked and mangled." Mom is worried that he'll never be a hand model. On exam you see the following: I can see why this freaked mom out You subsequently get an X-Ray: Again with the tiny arrows... and [...]
The Case A 21 month old male is refusing to walk after hurling himself down a playground slide. Mom tries to stand him up, and he crumples like a bean bag. He has some mild shin pain, but otherwise his exam is normal. You know the drill - and get an X-Ray. The tibial fracture - represented by a tiny arrow [...]
The Case A 16 year old pitcher presents to the ED complaining of right elbow pain. There is no history of direct trauma, and it has been "hurting more and more over the past few weeks." He is here because he was told by his coach at practice earlier in the day that he wouldn't be allowed to pitch in [...]
The Case An 80 pound 12 year old soccer star tripped in a hole while challenging for the ball. Another player on the pitch stumbled in the same (big) hole and landed awkwardly on the first player's leg. Even the fans on the next field over heard the snap. EMS was called and an obviously uncomfortable 12 year old male [...]
Keeping it short and simple this week folks. Here is a presentation on back pain in the pediatric ED. Just scroll vertically through the slides. You can even download it if you want. Spoiler alert! I will actually be giving this talk live tomorrow at the Cincinnati Children's resident lectures. Back Pain in the Pediatric ED
The Case A very "acrobatic" 13 year old male was jumping on a trampoline at his buddy's house. In an attempt to do a flip he landed on his back, then bounced off of the trampoline landing awkwardly on his left arm. His friend screamed an expletive because the patient's upper arm was swollen. After getting their stories straight, and alerting a [...]
The case A self-proclaimed dance team superstar presents after injuring her foot at a regional competition. She tried to finish the routine after landing awkwardly. But was having difficulty bearing weight. She applied ice overnight and despite ibuprofen is still in pain, and presents to the ED the next day.On her exam the neruovascular exam is normal, and she has pain along [...]
The case A 16 year old self-proclaimed track star was running the 400 meter sprint when he felt a pop at the bottom of his left buttock. He stopped running. He became mad. his mom became worried. He became your patient. This has never happened to him before because he states that he always stretches - a lot. On exam [...]
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... [...]
Welcome to a new PEMBlog feature - Fracture Fridays. Each week I'll post a new case of a common pediatric orthopedic injury. So, without further ado, here we go. 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 [...]
