SplintER Series: Venous Thoracic Outlet Syndrome

A 29-year-old male presents with right shoulder pain, throbbing, and swelling. He states that a bulge has appeared over his right anterior shoulder recently (Image 1). While he was doing pushups today, he began to have numbness, tingling, and weakness in his right arm. While in the waiting room, his symptoms have completely resolved.

Image 1: Bedside ultrasound of the anterior shoulder at the site of the bulge. AA=axillary artery. AV=axillary vein. Author’s image.

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By William Denq, MD CAQ-SM|2021-03-16T18:12:40-07:00Mar 17, 2021|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

An 80-year-old male presents with severe right arm pain after he tripped and fell down 2 steps. Examination shows deformity and swelling to his right upper arm. You obtain AP and lateral humerus x-rays as above.

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By William Denq, MD CAQ-SM|2021-02-17T09:45:34-08:00Mar 10, 2021|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

A 27-year-old female presents with left knee pain after a low-speed motor vehicle collision in which her knee hit the dashboard. She is tender over the patella without significant effusion and has an intact extensor mechanism. The above x-ray was obtained (Image 1. X-ray left knee. Case courtesy of Dr. M. Mourits, Radiopaedia.org, rID: 14476).

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By William Denq, MD CAQ-SM|2021-02-25T15:41:03-08:00Mar 3, 2021|Expert Peer Reviewed (Clinical), Orthopedic, SplintER, Uncategorized|

An 18-year-old football player presents to the Emergency Department after an episode of transient numbness, tingling, and inability to move his right upper extremity after making a tackle. He continued playing without recurrence. The above imaging was obtained (Figure 1. Lateral cervical spine x-ray. Case courtesy of Dr Andrew Dixon, Radiopaedia.org, rID: 32505).

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By William Denq, MD CAQ-SM|2021-02-05T10:16:23-08:00Feb 23, 2021|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

SplintER Series: A Stressful Step – Midfoot Pain in a Female Runner

A 17 year-old female who recently started training for a marathon presents with progressively severe pain over her midfoot, notable for point tenderness over the 2nd metatarsal shaft. The above image was obtained (Image 1. X-ray of the left foot. Image courtesy of Matthew Negaard, MD). (more…)

By William Denq, MD CAQ-SM|2021-01-24T04:26:49-08:00Feb 3, 2021|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

A 20-year-old male presents with right posterior thigh pain and difficulty walking after he felt a “pop” while sprinting in a race. An ultrasound of the right posterior thigh is performed and the above image is seen on the transverse view without compression (Image 1. ST- semitendinosus; BF – bicep femoris; H – hematoma. Courtesy of Matthew Negaard, MD).

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By William Denq, MD CAQ-SM|2021-01-24T03:13:30-08:00Jan 27, 2021|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

SplintER Series: More Than Just a Shoulder Dislocation?

$Anterior inferior shoulder dislocation with a fracture of the greater tuberosity of the humerus.$

An 80-year-old female presents to the Emergency Department with right shoulder pain, deformity, and decreased range of motion after falling down half a flight of stairs. AP and Y-views of the right shoulder were obtained (Images courtesy of Kenneth Chang, DO).

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By William Denq, MD CAQ-SM|2020-12-14T12:41:40-08:00Dec 16, 2020|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

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