A 10y/o comes in with arm pain after a fall off monkey bars. The xray shows no fracture. What else do you look for on the elbow xray?
anterior fat pad is normal, posterior suggests occult fracture
when does trauma want a pelvic xray?
trauma room antibiotic for open fracture
ancef. bonus for remembering the TDap, pharmacy can look up if its UTD
Why is snuff box tenderness concerning?
Its hard to see the scaphoid bone on xray, so hard to tell if its fractured. Current/old treatment is thumb spica splint even if no visible fracture
in addition to pain meds, what can you do before ortho reduces a fracture or dislocation?
hematoma block
what is the classic mechanism for a scaphoid fracture?
FOOSH
A babysitter pulls a kid's arm hard and now they won't move the arm. What bone is involved?
Nursemaids - radial head subluxation
Treatment: hyperpronate and supinate
name and types of growth plate fractures
what are you looking for in a radial head displacement xray?
Radiocapitellar line – A line drawn along the shaft of the radius should intersect the middle third of the capitellum