A 19 year-old male presents to the emergency department with a complaint of right shoulder pain. He was tackled from behind in a rugby game three days prior to presentation and has been experiencing pain over the anterior aspect of his right shoulder since that time. Physical exam is notable for tenderness over the right acromioclavicular (AC) joint and pain with both active and passive range of motion of the right shoulder. X-rays (Figure 1) show “no obvious fracture or subluxation.” However, based on your exam and clinical suspicion, closer inspection reveals abnormal alignment between the clavicle and the acromion consistent with AC joint injury…

OrthopedicsAlexander DaytonJuly 26, 2019Orthopedics, Acromioclavicular Joint, Shoulder traumaComment

An Open-and-Shut Case? Diagnosis and Management of Open Fractures in the Emergency Department

A 53 year-old woman with no past medical history stepped out of the house to walk her dog when she slipped on the icy front stairs. She noted immediate pain and an obvious deformity of her right ankle, but denied head strike, loss of consciousness, or other symptoms…

OrthopedicsAustin QuinnApril 26, 2019Orthopedics, Open Joint, Fracture, Saline load test, AntibioticsComment

Take a Knee…

An otherwise healthy 17-year-old male presents to the ED after an ATV accident. He was riding at a low speed when he swerved to avoid a branch, lost control, forcing him to bail forward over the handlebars. He sustains a laceration to his knee during the fall, but suffers no other injuries…

Orthopedics, TraumaMatthew LoConteApril 12, 2019Orthopedics, #FOAMed, Open JointComment

Subtalar Dislocations

Orthopedics, Trauma, Radiology, ProceduresAlexandra SchickMarch 29, 2019OrthopedicsComment

Thrower’s Fracture of the Humerus: A Case Report

A 35-year-old, right-handed male presented to the emergency department with complaint of right upper arm pain. He was a member of an amateur baseball team; just prior to arrival he threw a ball and immediately felt a pop and sharp pain in his right upper arm. Since that time, he had been unable to move his arm due to pain. He reported no prior injury to the arm but did state that over the last several weeks he had been having an ache in that arm. He was otherwise healthy, took no medications, denied weakness, numbness and tingling in his right arm. He was a non-smoker and an occasional drinker. He used no drugs…

Radiology, OrthopedicsMichael PruchaDecember 4, 2018Emergency Radiology Comment

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