Orthopedics

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Introducing point-of-care ultrasound through competency-based simulation education using a fractured chicken bone model

Nathan L Haas, MD,* Elise Hart, MD,† Mary RC Haas, MD,* and Trent Reed, DO^

DOI: https://doi.org/10.21980/J8GG95 Issue 2:3[mrp_rating_result]
To introduce medical students to PoCUS with an inexpensive, reproducible, and educationally effective model using fractured chicken bones set in gelatin, and to assess medical students’ abilities to identify simulated long-bone fractures using PoCUS.
UltrasoundInnovationsOrthopedics
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Supracondylar Fracture

Jessica Andrusaitis, BS, MS* and Ben Feldman, MD*

DOI: https://doi.org/10.21980/J8492P Issue 2:3[mrp_rating_result]
History of present illness: A 15-year-old male presented to the emergency department with right elbow pain after falling off a skateboard.  The patient denied a decrease in strength or sensation but did endorse paresthesias to his hand.  On exam, the patient had an obvious deformity of his right elbow with tenderness to palpation and decreased range of motion at the
OrthopedicsVisual EM
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Galeazzi Fracture

Reid Honda, MD*

DOI: https://doi.org/10.21980/J8HS39 Issue 2:2[mrp_rating_result]
The X-ray showed an acute comminuted fracture of the distal diaphysis of the radius with disruption of the distal radioulnar joint, consistent with a Galeazzi fracture. The patient was then splinted and taken for operative reduction and internal fixation the following day.
OrthopedicsVisual EM

A Formalized Three-Year Emergency Medicine Residency Musculoskeletal Emergencies Curriculum

Andrew King, MD, FACEP*, Jeffrey Yu^, Mark J Conroy, MD*, Robert Cooper, MD*, Jennifer Mitzman, MD*, Colin Kaide, MD, FACEP* Sarah Greenberger, MD*, Sorabh Khandelwal, MD* and Michael Barrie, MD*

DOI: https://doi.org/10.21980/J8RG6HIssue 2:1[mrp_rating_result]
Resident learners will master the diagnosis and management of emergent musculoskeletal conditions including fractures/dislocations, soft tissue injuries, compartment syndrome, joint complaints, infections, and complex injuries.
OrthopedicsCurricula
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Irreducible Traumatic Posterior Shoulder Dislocation

Blake Collier, DO* and Christopher Trigger, MD*

DOI: https://doi.org/10.21980/J8V884Issue 2:1[mrp_rating_result]
Radiographs demonstrated posterior displacement of the humeral head on the “Y” view (see white arrow) and widening of the glenohumeral joint space on anterior-posterior view (see red arrow). The findings were consistent with posterior dislocation and a Hill-Sachs type deformity. Sedation was performed and reduction was attempted using external rotation, traction counter-traction. An immediate “pop” was felt during the procedure. Post-procedure radiographs revealed a persistent posterior subluxation with interlocking at posterior glenoid. CT revealed posterior dislocation with acute depressed impaction deformity medial to the biceps groove with the humeral head perched on the posterior glenoid, interlocked at reverse Hill-Sachs deformity (see blue arrow).
OrthopedicsVisual EM
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Pseudogout and Calcium Pyrophosphate Disease

Andrew Williamson, MD*

DOI: https://doi.org/10.21980/J8QG66Issue 2:1[mrp_rating_result]
Radiographs of the knee showed multiple radio-dense lines paralleling the articular surface (see red arrows) consistent with calcium pyrophosphate crystal deposition within the joint often seen in calcium pyrophosphate disease (CPPD) also known as pseudogout.
OrthopedicsVisual EM
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Lunate Dislocation

Jonathan Peña, MD*

DOI: https://doi.org/10.21980/J86K56Issue 2:1[mrp_rating_result]
Plain film of the right wrist showed the classic “spilled teacup” consistent with a lunate dislocation. There is a loss of the normal articulation between the distal radius and lunate.
OrthopedicsTraumaVisual EM
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Pediatric Supracondylar Fracture

Jonathan Peña, MD* and John R. Marshall, MD*

DOI: https://doi.org/10.21980/J8T88TIssue 2:1[mrp_rating_result]
Plain film radiography showed a displaced supracondylar fracture with disrupted anterior and posterior periostea, consistent with a type 3 supracondylar fracture.
OrthopedicsVisual EM