Good job, Dr. Oiyemhonlan. This is a Monteggia fracture! Monteggia Fractures Overview: Dislocation of the proximal radioulnar joint in association with a forearm fracture. Relatively uncommon. Less than 5% of all forearm fracture. Primarily associated with falls on outstretched hand with forced pronation. Radial head dislocation may lead Read more…
45 year old female presents to the ED after falling on her arm. She was jumping out of the way of a “crazy driver” and fell onto her arm. She complains of severe arm pain. You see a visible deformity on your exam. Xrays show: What describe the fracture. What Read more…
Here’s the image again: good job, Dr. Berkowitz! The image shows SCFE of the right hip. SCFE Slipped capital femoral epiphysis results from a Salter-Harris physeal fracture. Mainly occurs between ages of 10 -16 years. Incidence is higher in boys than girls. 20% of patients will have bilateral involvement at Read more…
A “chubby” 13 year-old male presents with ED with 3 months of right hip pain. Per patient’s mom, the pain is progressively getting worse that the patient has been limping for last few weeks. Denies pain at the knee or any other joints. You get a xray and see… Read more…
Here are the images again: There is a right middle third clavicle fracture and right scapula fracture! Scapula Fractures: Relatively uncommon Many associated injuries, which can be LIFE-THREATENING: hemothorax, pneumothorax, pulmonary contusion, humeral fractures, skull fractures, or splenic injury Treatment: REMEMBER to treat life-threatening injuries FIRST! Scapula Read more…
35 year old male presents s/p trauma. Patient was riding a motorcycle when he was struck by another vehicle, which caused patient flip in the air and fall on his right shoulder. On exam you see visible deformity around his right clavicle. You decide to get a xray and see Read more…
Here’s the image again The answer is….Galeazzi fracture! Congrats to Dr. Berkowitz for the correct answer and treatment! Galeazzi Fracture Basics: Galeazzi fractures are isolated fractures of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint Read more…
29 year old male presents s/p trauma. During your primary survey, you notice a deformity to the patient’s right forearm. You obtain a xray and see… Describe the xray and name the fracture. What is the treatment for this patient?
Physical exam: Hypertension can be seen in 50% of the patients and can be due to catecholamine surge. Hypotension (in 20% patients) can be a result of excessive vagal tone, cardiac tamponade, or hypervolemia from rupture dissection. References: Mancini, M. Read more…
65 year old male presents with chest pain. He describes the pain as “pain”, but radiating to the back. Denies shortness of breath, nausea, or diaphoresis. You decide to get a CXR…and you see: please provide a read. What would you do for the patient?