High-pressure Injection Injuries of the Hand

Oct 6, 2017 by in ORTHOPEDIC Comments Off on High-pressure Injection Injuries of the Hand

High-pressure injection hand injuries are often overlooked, with severe complications owing to the acute inflammatory response. Prognosis for depends on the type of material injected, location of injection, involved pressure,…

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Review of Talus Fractures and Surgical Timing

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Review of Talus Fractures and Surgical Timing

This review article provides an overview of talus fractures. Special attention is given to the clinical literature that evaluates the timing of surgical management for displaced talus fractures. Several series…

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Compartment Syndrome of the Hand

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Compartment Syndrome of the Hand

Hand compartment syndrome has many etiologies; untreated, it has dire functional consequences. Intracompartmental pressure exceeding capillary filling pressure causes decreased tissue perfusion resulting in progressive ischemic death of compartment contents….

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Acute Carpal Tunnel Syndrome

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Acute Carpal Tunnel Syndrome

Acute carpal tunnel syndrome is a progressive median nerve compression leading to loss of two-point discrimination. Most cases encountered are in the emergency department following wrist trauma and distal radius…

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Management of Pelvic Ring Injuries in Unstable Patients

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Management of Pelvic Ring Injuries in Unstable Patients

High-energy pelvic ring injuries can represent life-threatening injuries in the polytraumatized patient, particularly when presenting with hemodynamic instability. These injuries mandate a systematic multidisciplinary approach to evaluation, and timely intervention…

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Acute Ischemia of the Upper Extremity

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Acute Ischemia of the Upper Extremity

Ischemia of the upper extremity is uncommon but can be seen with open or closed trauma. Those dealing with traumatic injury of the upper extremity should be conversant with techniques…

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Compartment Syndrome in Children

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Compartment Syndrome in Children

Compartment syndrome in children can present differently than adults. Increased analgesic need should be considered the first sign of evolving compartment syndrome in children. Children with supracondylar humerus fractures, floating…

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Pediatric Open Fractures

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Pediatric Open Fractures

Open fractures in children are rare and are typically associated with better prognoses compared with their adult equivalents. Regardless, open fractures pose a challenge because of the risk of healing…

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Acute Compartment Syndrome

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Acute Compartment Syndrome

Acute compartment syndrome (ACS) is a well-known pathophysiologic complication of trauma or tissue ischemia. ACS affects the appearance, function, and even the viability of the involved limb, and demands immediate…

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Treatment of Hip Dislocations and Associated Injuries

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Treatment of Hip Dislocations and Associated Injuries

Hip dislocations, most often caused by motor vehicle accidents or similar high-energy trauma, traverse a large subset of distinct injury patterns. Understanding these patterns and their associated injuries allows surgeons…

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