SplintER: Knee pain after the jump

tibial tubercle fracturesA 15 year-old male presents to the emergency department with left knee pain and swelling after jumping while attempting to dunk a basketball. You obtain a knee x-ray (image 1 courtesy of Mark Hopkins, MD). What is your diagnosis? What patient population is at risk for this injury? What other injuries occur in this anatomical location? What is your emergency department management?

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SplintER Series: The Recurrent Shoulder Dislocation

Bankart Lesion

 

A 17 year-old football player with prior shoulder dislocation presents to the emergency department reporting shoulder pain after fall. You obtain shoulder x-rays and see the following injury (Image courtesy of Richard Hopkins, MD).

What is your diagnosis? Are there any associated lesions you could expect to find? What is your emergency department management?

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SplintER Series: The 2 minute ankle exam | Leg Day #5

 ankle anatomy

Welcome to Leg Day #5 of the SplintER Series. The focused history and physical ankle exam of the patient with an acute ankle injury is a crucial tool often overlooked in the Emergency Department (ED). Our hope is that after enough practice, you will be able to complete your ankle exam within 2 minutes! The key is to practice, practice, and practice some more.

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SplintER Series: Pain in the Palm

Hook of Hamate Fracture on Carpal Tunnel view

A 17 year-old left hand dominant high school baseball player presents with severe, sharp pain in his right hand at the hypothenar eminence with associated numbness and tingling of his 4th and 5th digits. The pain and tingling began after he swung his bat and hit a ground ball. You obtain x-rays and see an abnormality. What is the most likely diagnosis, differential diagnosis, and management plan?

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