Category: Ortho

Orthopedics- Upper extremity #5 discussion

Jennifer Chapman, MD Children’s National Medical Center Case of a 5yo girl who fell and has forearm pain. Your responses: Respondents:  5 PEM fellows, 1 Associate, 9 faculty,  2 not categorized Diagnosis options: (17 respondents) Proximal ulnar fracture   6% Elbow effusion Type 1 SCFx  0 Radial neck fracture with elbow effusion   23% Forearm fracture with […]

Orthopedics- Upper extremity #5

Jennifer I Chapman, Children’s National Medical Center This 5yo girl fell forward onto her outstretched hand and has forearm pain. There is no deformity, swelling, or severe pain, but she holds her arm to her side protectively. Your triage colleague orders Xrays: The Orthopedic faculty will provide clinical pearls related to this case 1 week […]

Orthopedics- Upper extremity # 4

Jennifer I Chapman, Children’s National Medical Center This 10yo child tripped while playing in the yard at school. He has pain over his distal forearm, with mild swelling over same. Xrays from your triage colleague are obtained: The Orthopedic faculty will provide clinical pearls around forearm injuries next week. Thank you!

Orthopedics- Upper extremity #3 discussion

Jennifer Chapman, MD Children’s National Medical Center This 10 yo boy fell back onto his hand and has elbow pain and swelling, with limited pronation/supination. There were 17 respondents, with injuries described as: Elbow effusion Type 1 SCFx 7 40% Lateral condyle fracture 6     35% Radial neck fracture 4         25% Other, describe: — Diagnosis: fracture […]

Orthopedics- Upper extremity #3

Jennifer I Chapman, Children’s National Medical Center This 10 yo boy fell back onto his hand. He has pain around his elbow, which is mildly swollen. He can flex his arm but has pain with pronation/supination Xray from your triage colleague: The Orthopedic faculty will provide clinical pearls related to elbow injuries in 1 week. […]