Time is Brain, Time is Testicle, Time is…Spine?

A 56 year-old right hand dominant male presented to the emergency department with weakness in his bilateral hands, worse on the left. For the last several months, he had been having daily neck pain and frequent occipital headaches. He had been dropping things more frequently, but noticed over the previous week that he had increasing difficulty getting dressed in the morning. He used to be very active, but began using a walker last year because of frequent falls from what he described as always “feeling off-balance”. He also endorsed intermittent tingling in all fingers of his left hand.

Neurology, OrthopedicsMeredith HortonNovember 27, 2020cervical myelopathy, cervical stenosis, orthopedics, spinal cord injuryComment

Minor Hand Injuries

An overview of common hand injuries, including mallet finger, boxer’s fracture, and more!

Sports Medicine, OrthopedicsBrett MurrayNovember 6, 2020Hand injuries, Orthopedics, TraumaComment

Too Bad: Bi-mal Ankle Fractures

A 62 year-old obese female with residual left-sided weakness from prior CVA presented with severe ankle pain after a fall. She was getting up from the toilet when her left knee gave out and she fell with her leg trapped underneath her body. After helping her back to bed, the patient’s daughter noticed her ankle and thought “it wasn’t supposed to look like that.” …

Orthopedics, Procedures, Sports MedicineDaniel ColemanAugust 28, 2020Orthopedics, Ankle Dislocation, Ankle FractureComment

Ankle Arthrocentesis in the Emergency Department

When a patient presents to the emergency department with atraumatic monoarticular arthritis, it is important to rapidly determine the etiology because septic arthritis is a medical emergency that can lead to significant morbidity and mortality…

Orthopedics, Procedures, UltrasoundKatie MillerAugust 21, 2020Ultrasound, OrthopedicsComment

Whit-ticisms: Osteophony, or How to Hear Broken Bones

There may be a time when you don’t *gasp* have an x-ray machine. Osteophony is a 19th century technique by which practitioners would use the acoustic properties of intact versus disrupted bone to determine if there was a fracture or dislocation. Extra points if you can get orthopedics to come see the patient based solely on osteophony!

Orthopedics, Procedures, Whit-ticismsWhit FisherApril 2, 2020osteophony, orthopedics, fracture, dislocationComment

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