Ortho Hors D'oeuvres (Prompt):

Patient is a 50 year-old woman presenting after falling down onto her right shoulder. She has a history of similar injuries in the past. On examination, she has intact sensation and strength in the axillay, median, radial, and ulnar nerve distributions, with good capillary refill.

X-rays show:

Questions and Answers:

1. What is the injury?

2. Did you need to perform the x-ray to appropriately treat this injury?

3. What is the appropriate emergent management for this injury?