Posts in Orthopedics
Just My Puck: Posterior SC Dislocation Following a Hockey Game
Just My Puck: Posterior SC Dislocation Following a Hockey Game

An 18-year-old male with no significant past medical history presents with left shoulder pain after sustaining an injury while playing hockey. The patient reports that during the game he was tripped by another player, and subsequently hit the back board with his left upper torso. He immediately experienced severe pain and nausea. He was taken to the emergency department (ED) at this time. Pain is localized to the left shoulder, exacerbated by movement, and alleviated by immobilization. He denies shortness of breath, dysphagia, hoarseness, paresthesias, or any sensorimotor deficits…

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Sports Medicine, OrthopedicsMaiya CowanBrown Emergency MedicineSC Dislocation, Orthopedics, Shoulder TraumaComment
Distal Radius Fractures
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…

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Emergency Medicine, Orthopedics, Sports Medicine, TraumaChris KoehlerRadius Fracture, Orthopedics, Ulnar FractureComment
A Flare in the ED: Using Ultrasound to Diagnose Gout
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…

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Community EM, Orthopedics, Radiology, Rheumatology, UltrasoundShital ShahGout, Ultrasound, Brown SoundComment