Fracture Fridays: Thumbs up (Re-post)
This edition of Fracture Fridays focuses on a can't miss hand injury.
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Fracture Fridays: Toddling along, until they’re not… (Re-post)
This edition of Fracture Fridays focuses on toddler's fractures.
Fracture Fridays: Nailed it! (Re-post)
Fingertip fractures, even open ones are managed a bit differently than others. Learn more about these here.
Fracture Fridays: Boxing Day (Re-post)
People punch things. Sometimes they break their hands. This post is about those people.
Fracture Fridays: Getting a leg up on the competition (Re-post)
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 [...]
Fracture Fridays: Monteggiazzi (Re-post)
Seriously, I can never manage to remember the differences between Monteggia and Galeazzi fractures - especially when it shows up on standardized tests. So, this edition of Fracture Fridays focuses on differentiating the two. Essentially, when one forearm bone breaks and is displaced, angulated and [...]
Fracture Fridays: Three Planes (re-post)
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. [...]
Fracture Fridays: FOOSH (re-post)
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 [...]
Take a break and bone up on injuries with Fracture Fridays
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, [...]
Fracture Fridays: A chip off the old bucket handle
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 [...]
Fracture Fridays: Can’t put a finger on it
The Case An athlete presents to the ED with an injured pinky finger. He says that he struck it on a teammate during practice and "it bent back." The pinky finger is abducted and jutting out at an extreme angle. It is making dad nauseous. [...]
Fracture Fridays: Forearm fracture reduction
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. [...]
Fracture Fridays: Bony complications of repeated shoulder dislocations
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 [...]
Fracture Fridays: Boxing Day
People punch things. Sometimes they break their hands. This post is about those people.
Fracture Fridays: Popped patella pandemonium
For this edition of Fracture Fridays I'd like to share a brief (seriously <1 minute) video on reducing the dislocated patella.
Fracture Fridays: Thumbs up
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 [...]
Fracture Fridays: Mandible fractures
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 [...]
Fracture Fridays: Monteggiazzi
Seriously, I can never manage to remember the differences between Monteggia and Galeazzi fractures - especially when it shows up on standardized tests. So, this edition of Fracture Fridays focuses on differentiating the two. Essentially, when one forearm bone breaks and is displaced, angulated and [...]
Fracture Fridays: Nailed it!
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 [...]
Fracture Fridays: Toddling along, until they’re not…
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 [...]
Fracture Fridays: Olecranon fracture in a pitcher
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 [...]
Fracture Fridays: Getting a leg up on the competition
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 [...]
Fracture Fridays: Nothing humerus about this injury
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 [...]
Fracture Fridays: Dancing queen
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 [...]