SplintER: Persistent Left Groin Pain

Femoral Neck Stress Fracture xray

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.

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A Pop in the Calf – Plantaris Rupture

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?

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SplintER Series: Delayed pain in an injured knee

pellegrini-stieda

Image 1. Case courtesy of Radswiki, Radiopaedia.org

A 26 year-old male presents with new medial right knee pain after twisting his knee playing soccer 3 weeks ago. His initial pain has since resolved.

What is your diagnosis? What examination findings should you expect? What associated diagnoses should you assess for? What is your management in the emergency department?

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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: Two cases of shoulder pain

 

Two patients present to your emergency department: Patient 1 is a 17 year-old soccer player who fell during a game onto their right side and is now complaining of mild right shoulder pain. You obtain x-rays (Figure 1). Patient 2 is a 21 year-old motorist who lost control and went over the handlebars. They heard a pop and are complaining of left shoulder pain. You obtain shoulder x-rays (Figure 2). For these cases, what are your diagnoses, expected physical examination findings, and emergency department management?

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By |2020-02-04T19:13:23-08:00Feb 5, 2020|Emergency Medicine, Orthopedic, SplintER|

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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