SplintER Series: A Case of Severe Shoulder Pain

calcific tendinitis shoulder

A 45 year old woman presents with several days of gradually worsening right shoulder pain and stiffness. Her shoulder is very warm to the touch but not erythematous. You obtain shoulder x-rays and see a linear density in the AP view (photo credit).

What is the most likely diagnosis, the differential diagnosis, and management plan?

 

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2019-05-21T15:06:37-07:00

SplintER Series: Case of a First Metacarpal Fracture



first metacarpal fracture

Click image to enlarge view

A 22 year-old male was playing football when he fell, landing on his outstretched left arm with his thumb flexed. He now has pain at the base of his thumb. This AP view of the hand best demonstrates the injury (photo credit).

What is this fracture, what additional imaging is needed, and what should be the management plan?

 

 

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2019-05-09T18:07:02-07:00

SplintER Series: 2-Minute Knee Exam | Leg Day #3 | MSK Exam Series

Knee Pain

Welcome to Leg Day #3 of the SplintER Series! Performing a fast and focused history and physical examination of a patient with an acute knee injury is an important skill that has the potential to be overlooked in our busy Emergency Departments. Our hope is that after reviewing this post and with enough practice you will be able to complete your exam within 2 minutes! These are can’t-miss points and expert tips on the knee exam for your next shift in the ED.

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2019-04-04T21:31:50-07:00

SplintER Series: Hip Dislocation | Leg Day #2

Hip dislocation xray - SplintER seriesWelcome to Leg Day #2 of the SplintER Series. Following up with the Leg Day #1’s primer on tibial plateau fractures, another key orthopedic injury of the leg is hip dislocation. A hip dislocation occurs when there is separation of the head of the femur from the acetabulum of the pelvis in either an anterior or posterior direction.1

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Use of Point-of-care Ultrasound in Tibial Plateau Fractures | Case Presentation

A 70-year-old female with no past medical history was hit by a motor vehicle while crossing the street. She experienced no head strike or loss of consciousness, however she was unable to ambulate at the scene, and upon arrival to the ED, complained of left knee pain. The emergency physician noted moderate swelling on exam with intact skin and distal pulses. She was tender to palpation over the proximal tibia. Portable 2-view radiographs were obtained and interpreted as “no acute fracture.” On repeat examination, however, the patient continued to have pain and was now unable to bear weight on the affected extremity. Is there a role for point-of-care ultrasound (POCUS) in this situation?

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2018-10-28T22:17:27-07:00

SplintER Series: Tibial Plateau Fractures | Leg Day #1

lipohemoarthrosis tibial plateau fracturesThe SplintER series is back with a new sub-series – Leg Day! We will review lower extremity orthopedic injuries, introduce advanced concepts, and highlight ways to implement these into your next shift. In this post, we summarize the appropriate way to evaluate, diagnose, and manage tibial plateau fractures. This post is peer-reviewed by Dr. Kori Hudson, one of our expert sports medicine colleagues! Please read below for her commentary.

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2018-08-22T09:35:14-07:00

SplintER Series: Common ED Splint Techniques | Splint Principles 104

The SplintER series is back with its fourth installment! In this series, we review splinting fundamentals, introduce advanced concepts, and highlight ways to implement these into your next shift. In this post, we summarize some of the most commonly deployed splints in the ED. Peer-reviewed by sports medicine experts (Dr. Kori Hudson and Dr. Anna Waterbrook), these injury-splint summary tables provide information on the origin, insertion, and positioning for each splint, along with the recommended number of layers of plaster.
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2019-04-06T00:34:32-07:00