Posts in Orthopedics
Emergency Department Application of J-splints to Temporize Pediatric Femur Fractures

A four-year-old female with no medical history presented to the emergency department with right leg pain and refusal to walk after falling while in her father’s arms. She was being carried by her father down a flight of outdoor concrete stairs when he slipped on black ice and her leg struck the ground. The patient refused to walk after the fall and her mother noted that her leg had been “cracking” since the accident…

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Nothing Humerus About It: An Approach to Shoulder Dislocations

A 52 year old male with a history of type 2 DM presented to the ED with right shoulder pain after a fall while stepping off a bus. The patient noted that he was unable to range the shoulder. Vitals were significant for HR of 104, otherwise unremarkable. On examination, the patient had a flattened shoulder with a “squared-off” appearance, a prominent acromion with the elbow flexed, and the arm held in slight abduction…

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