Category: Ortho

Jennifer Chapman, MD Children’s National Medical Center Case of a 2yo with a painful swollen elbow after falling out of bed. Your responses: Respondents: 9 PEM fellows, 1 NP, 3 Associates, 7 faculty Diagnosis:  21 respondents No injury 5% Fracture of lateral epicondyle 60% Type 1 SCFx with elbow effusion 20% Radial neck fracture 10%Other: Ulnar dislocation 5% […]

Jennifer I Chapman, Children’s National Medical Center This 2yo boy healthy boy fell off out of bed. He is crying, refusing to move the left elbow, which is swollen. He has pain with all movement of his elbow and tenderness to palpation of the lateral elbow. Xray from your triage colleague: The Orthopedic faculty will […]

Jennifer Chapman, MD Children’s National Medical Center Case of a 12yo boy with upper chest pain after football collision. Your responses: Respondents: 4 PEM fellows and 2 faculty, no Associate/PA Diagnosis: 7 votes – No injury (0) Fracture of clavicle (60%) Other: R SC separation (12% ) Other: Sternoclavicular joint dislocation (28%) Is Orthopedic consult […]

Jennifer Chapman, MD Children’s National Medical Center Case of a 12yo boy with upper chest pain after football collision. Your responses: Respondents: 4 PEM fellows and 2 faculty, no Associate/PA Diagnosis: 7 votes – No injury (0) Fracture of clavicle (60%) Other: R SC separation (12% ) Other: Sternoclavicular joint dislocation (28%) Is Orthopedic consult […]

Jennifer Chapman, MD Children’s National Medical Center A 12yo boy football player is complaining of right upper chest pain after being tackled and struck in that area by another helmeted player. It is painful to raise his arm anteriorly or to abduct. An Xray is ordered: Our Orthopedic colleague will share clinical pearls related to […]