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Ortho Pearls: Metacarpal Fracture Management

Cook County EM Blog

If there are no indications for surgery, the patient can be immobilized in a cast for four weeks with good outcomes. Why it Matters: Fractures of the second through fourth metacarpals should initially be managed by attempting closed reduction with splinting in either a palmar wrist splint or an ulnar gutter splint.

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EM@3AM: Extensor Tendon Laceration

EMDocs

Answer : Extensor tendon laceration Epidemiology: Hand extensor injuries make up >25% of orthopedic soft tissue injuries 2, 3 Common in young men in manual labor Dominant hand more likely to be injured 4 2012 study on 86 patients reported 83% men with a mean age of 34.2 doi:10.1097/GOX.0000000000003278

EMS 79
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emDOCs Podcast – Episode 80: Traumatic Arthrotomy

EMDocs

Functional outcomes Severe soft tissue injuries and damage to the bony structures => poor functional outcomes.

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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). This suggests that differences in FPS rate likely account for the observed differences in adverse events between RSI and FI (14,15).

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Hand Examination & Pathology

Don't Forget the Bubbles

Soft tissue injuries are also very common and can also occur as children explore the world in younger years often trapping digits in doors and through accidents during play and sporting activities. They do not improve outcomes. A BestBets evidence review in 2011 looked at 4 published papers between 1948 & 2011.