By Mark Hopkins, MD|2020-07-15T13:44:35-07:00Jul 22, 2020|Expert Peer Reviewed (Clinical), Orthopedic, Pediatrics, SplintER|
SplintER: Persistent Left Groin Pain
A 24-year-old male presents with progressively worsening left groin pain for six weeks after he began training for a marathon. He states he had x-rays done by his PCP that were negative four weeks ago and was diagnosed with a groin strain. X-rays were obtained and featured to the right.
A Pop in the Calf – Plantaris Rupture
A 32 year-old male presents to the Emergency Department after he felt a “pop” in his posterior-medial calf while playing tennis. He was able to ambulate but had pain with plantar flexion and was unable to continue playing tennis. What is your differential diagnosis? What physical exam maneuver would you perform? What findings would you expect on physical exam? What is the diagnosis based on ultrasound images? What is your management in the emergency department?
SplintER: Knee pain after the jump
A 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?
SplintER Series: The Recurrent Shoulder Dislocation
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?
ACMT Toxicology Visual Pearls: Painful Hand
What is the recommended treatment for a patient with this hand injury following a sting by the marine creature shown?
SplintER Series: A Rare Cause of Traumatic Thumb Pain
A 45 year-old male presents with right thumb pain and deformity after falling off his bicycle. You obtain hand x-rays and see the following images. What is the most likely diagnosis, differential diagnosis, and management plan?
Figure 1. AP and oblique views of the hand. Author’s own images.