Distal Radius Fractures

A 65-year-old right hand-dominant female was brought in by ambulance after a motor vehicle collision with left wrist pain and deformity. She states she was driving when another car turned and drove into the front of her car. She was wearing a seatbelt, the road speed limit was 35 MPH, and the front airbags deployed. There was moderate damage to the vehicle. However, the patient was able to self-extricate and was ambulatory on scene. She denied head strike, loss of consciousness, or taking blood thinners. She states she was in her usual state of health prior to this event…

Emergency Medicine, Orthopedics, Sports Medicine, TraumaChris KoehlerDecember 16, 2022Radius Fracture, Orthopedics, Ulnar FractureComment

Clinical Image Case: Triple “E” Syndrome

A 68-year-old male with a past medical history of HTN, HLD presents reporting severe bilateral upper extremity pain…

Neurology, Orthopedics, Clinical ImageDerek LubetkinSeptember 30, 2022seizure, Posterior Shoulder DislocationComment

Posterior Shoulder Dislocation

A 46-year-old male with no past medical history presents to the ED via ambulance after crashing his bicycle. He was traveling at 25 mph when a dog ran out in front of him, causing him to swerve and fall onto his left side. He was helmeted and did not lose consciousness…

Community EM, Sports Medicine, OrthopedicsKatherine BarrySeptember 26, 2022Posterior Shoulder Dislocation, Reverse Hillsachs, OrthopedicsComment

A Flare in the ED: Using Ultrasound to Diagnose Gout

A 53-year-old male with hypertension presents to the emergency room with painful swelling of the right first toe at the MTP joint. The patient was in good health until a few days ago, where he was attending a college reunion. The swelling and pain increased overnight. The patient is having difficulty walking this morning due to the pain. He tried taking two Advil for the pain, which helped bring the pain from an 8/10 to a 6/10…

Community EM, Orthopedics, Radiology, Rheumatology, UltrasoundShital ShahApril 22, 2022Gout, Ultrasound, Brown SoundComment

Under Pressure: An Uncommon Location for Compartment Syndrome

A 35-year-old-patient presents following motor vehicle collision as a restrained passenger. The vehicle's dashboard was displaced into the cabin, causing prolonged entrapment of the patient’s lower extremities. The patient’s left thigh was noted by EMS to have an obvious deformity with bleeding from an anterior wound. A tourniquet was placed to the proximal left thigh. A deformity was also noted to the right thigh without obvious external hemorrhage…

Orthopedics, Sports Medicine, TraumaJeffrey SavarinoOctober 29, 2021Compartment SyndromeComment

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