article thumbnail

Proximal Tibiofibular Joint Dislocation in Children

Pediatric EM Morsels

This one can be thought of as being akin to the radial head subluxation (ie, Nursemaid’s Elbow) of the knee – Proximal Tibiofibular Joint Dislocation : Proximal Tibiofibular Joint Dislocation in Children: Basics Proximal Tibiofibular Joint (PTF) dislocations are relatively rare. MANAGE PAIN!

article thumbnail

Pseudosubluxation: Rebaked Morsel

Pediatric EM Morsels

They like to pretend to be well when they are truly sick ( remember to check that Cap Refill and to never trust a Neonate! ) www.Orthobullets.com The post Pseudosubluxation: Rebaked Morsel appeared first on Pediatric EM Morsels. Children love to trick us! Sometimes it is all in good fun and other times it is quite serious!

Fractures 130
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Neurogenic Shock in Children

Pediatric EM Morsels

), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. ” Children compensate for blood and volume loss very well… until they don’t. Most commonly caused by fracture or dislocation of vertebrae. Never fear. Updated 2022 Mar 3].

Shock 274
article thumbnail

Foot Injuries in the ED

Taming the SRU

BACKGROUND Foot injuries are common and can have significant implications for a patient’s well-being, functional capacity, and finances. As an EM physician, it is important to have an understanding of the spectrum of foot injuries and how these are appropriately evaluated. Gross deformities often suggest fracture or dislocation.

article thumbnail

Occult and Subtle Wrist and Hand Injuries You Don’t Want To Miss

ACEP Now

There is a spectrum of DRUJ injuries from minor sprain to subluxation to dislocation. An important pitfall is assuming no fracture if a hook-of-hamate fracture is suspected clinically and the standard wrist views as well as the hook-of-hamate or carpal tunnel view are negative.

article thumbnail

Twisting and Turning - Ankle Injuries in the ED

Taming the SRU

As an EM physician, it is important to have an understanding of the spectrum of ankle injuries and how these are appropriately evaluated. Use your exam to guide your initial management as well as your imaging decisions and differential diagnosis. Gross deformities often suggest fracture or dislocation [Image 2]. 12): e0244291.

article thumbnail

Grand Rounds Recap 2.7.24

Taming the SRU

Total RBC count (<500 RBCs in last tube), as well as clearance by the last tube (decrease in RBC count by at least 70% by the last tube), can be used to differentiate between traumatic taps and a SAH. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.