Tolerate More Than Pain
Mid-shafted

A 29-year-old male presents to the ED with left arm pain after he fell sideways off his bike mountain biking up a steep incline

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Splinting Series
May 22, 2024
Mid-shafted
A 29-year-old male presents to the ED with left arm pain after he fell sideways off his bike mountain biking up a steep incline
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Mid-shafted
May 15, 2024
Acute on Chronic A-vault-ion Injury
An 8-year-old dancer presents for acute left knee pain. She has had atraumatic anterior pain in this same knee over the last 6 months that was worse with activity. Today however she had acute severe pain after vaulting a stunt. She points to the anterior knee and is not wanting to walk.
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Acute on Chronic A-vault-ion Injury
May 08, 2024
Hold Your Horses!
A 22-year-old female presents to the Emergency Department with traumatic left 5th digit pain. She was in a horse racing competition when she awkwardly pinned her hand against the back of her horse. On exam, there is an obvious deformity of the 5th digit with tenderness to palpation of the proximal phalanx. Patient has diminished sensation to the fingertip. She has good capillary refill and no evidence of open injury.
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Hold Your Horses!
May 04, 2024
Distal Wrist
A 43-year-old male is complaining of right shoulder pain after a fall playing pickup soccer. You obtain an ultrasound image (Image 1) of the area with the findings below. What is your diagnosis? Can you identify the structures? A comparison image (Image 2) of the left unaffected shoulder is also provided.
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Distal Wrist
May 01, 2024
Watch That Ankle Like a Hawk
A 16-year-old male was transferred from an outside hospital to the emergency department with severe right ankle pain after landing awkwardly in ankle inversion, while playing volleyball. He was unable to walk and had right ankle deformity. On exam, he had a normal distal pulse and capillary refill, intact sensation, and could move his toes. Plain films of the patient’s right ankle were obtained.
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Watch That Ankle Like a Hawk
April 24, 2024
Sorry, Caught it on Your Jersey
A 19-year-old male D1 football player presents with left ring finger pain and inability to flex the DIP joint after getting his finger stuck on an opponent's jersey during the game last night.
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Sorry, Caught it on Your Jersey
April 17, 2024
Higher the Pressure Higher the Stakes
A 37-year-old male presents after accidentally shooting a high pressure paint gun into his right index finger at work. The paint was water based. He denies pain, there is no swelling, and he has full range of motion without pain at arrival to the ED.
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Higher the Pressure Higher the Stakes
April 10, 2024
Ankle Breakers
A 49-year-old female presents with right ankle pain after a ground level fall. She has been unable to ambulate since the incident. On exam, there is mild swelling to the distal ankle with tenderness to palpation of the lateral malleolus. Plantar- and dorsiflexion of the ankle are limited due to pain. There are no open wounds visualized and the ankle is warm and well perfused.
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Ankle Breakers
April 03, 2024
Neck Tears
A 40-year-old male presents with neck pain after a high speed motor vehicle collision. You obtain x-rays (Image 1).
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Neck Tears
March 27, 2024
Is That My Toe?
A 40-year-old female presents for left 1st toe pain. She had her toes curled when someone stood up and pushed off of her, pushing her toes into the ground and creating a deformity.
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Is That My Toe?
March 23, 2024
Shoulder
A 43-year-old male is complaining of right shoulder pain after a fall playing pickup soccer. You obtain an ultrasound image (Image 1) of the area with the findings below. What is your diagnosis? Can you identify the structures? A comparison image (Image 2) of the left unaffected shoulder is also provided.
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Shoulder
March 20, 2024
But it’s my Shoulder!
Patient is a 55 year old male presenting to the ED with right shoulder pain. He states the pain has been ongoing for several weeks and worsening over time. He does not have any point areas of pain, but describes it as more diffuse. There are no aggravating or relieving factors.
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But it’s my Shoulder!
March 13, 2024
Un-lucky back pain
A 35 year old male is BIBA after MVA. The patient was wearing a lap belt without a shoulder harness and is now complaining of abdominal and back pain. Physical exam shows an abdominal seatbelt sign with pain in the abdomen and upper lumbar spine. CT is shown below.
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Un-lucky back pain
March 06, 2024
Bowing out of the Tournament
A 15-year old male presents with right elbow pain and deformity after injury sustained during a wrestling tournament. He has a large joint effusion and prominent olecranon, and is otherwise neurovascularly intact.
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Bowing out of the Tournament
February 28, 2024
Stepping into Understanding: Navigating the World of Navicular Stress Fractures
A 24-year-old male basketball player presents to the ED with right dorsal mid-foot pain after a week of daily intensive practices. The pain is worsened by use. Dorsalis pedis pulses are 2+ and the range of motion/sensation of the foot is intact.
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Stepping into Understanding: Navigating the World of Navicular Stress Fractures
February 24, 2024
Water Bath Technique
A 37 year old male is complaining of left hand pain after he got a wooden splinter in it 3 months ago. You obtain an ultrasound image of the area using a water bath technique with the findings below.
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Water Bath Technique
February 21, 2024
Stuck in the Shoulder: Thawing Out the Mystery of Shoulder Pain
A 54-year-old female with a history of type 2 diabetes presents to the ED with severe left shoulder pain after she woke up this morning. She denies any falls or trauma. On exam, she has marked reduced range of motion in all planes, most notably 25° with external rotation. Radiograph reveals the following:
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Stuck in the Shoulder: Thawing Out the Mystery of Shoulder Pain
February 14, 2024
I Just Ran a Marathon and Now I Can’t Walk
A 28 year old male just ran a personal record in the Chicago marathon. The next morning he wakes up with severe pain on the lateral aspect of his left foot. He’s having trouble bearing weight and walking due to the pain. He goes to a walk-in orthopedic clinic and an X-ray of his foot is shown below.
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I Just Ran a Marathon and Now I Can’t Walk
February 07, 2024
Tolerate More Than Pain
A 10-year-old male presents for right wrist pain after a fall while snowboarding. There is pain, swelling, and a deformity but he is neurovascularly intact.
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Tolerate More Than Pain
January 31, 2024
The Tooth of the Cervical Spine
An 80 year-old male patient BIBA for a witnessed fall. Cervical collar was placed by EMS because of midline neck pain. Patient is neurologically intact. CT of the cervical spine is shown below.
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The Tooth of the Cervical Spine
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