Ortho Hors D'oeuvres (Answer):
To review, the patient is a 14 year-old boy with 4th finger pain after crush injury with exposed nail on exam. Questions and Answers: 1) Why is an x-ray recommended in a patient with this injury pattern? An x-ray is recommended for this type of injury pattern to assess for possible osseous injuries in order to differentiate the management required. Distal phalanx fractures are common and account for over half of all hand fractures. The most common causes of distal phalanx fra
Ortho Hors D'oeuvres (Prompt):
Patient is a 14 year-old boy presenting after slamming his 4th finger in a door. On examination, the right ring finger has exposed nail root above the eponychium. There is no clear laceration to the nail matrix or bed. Pt has good capillary refill and two-point discrimination distally. X-rays show: Questions: 1) Why is an x-ray recommended in a patient with this injury pattern? 2) What type of injury pattern has this patient sustained? 3) What is the most appropriate next ste
Ortho Hors D'oeuvres (Answer):
To review, this is a 5 year-old boy with right shoulder pain after a fall from height with tenderness to palpation over the distal right clavicle. Questions and answers: 1) What is the injury? What is the most common cause of this type of injury? Pain at the distal end of the clavicle with radiographs that are negative for clavicular fracture is concerning for an AC separation, also known as a shoulder separation. This injury is often caused by direct blunt force direct to th
