Orthopedic Emergencies :Expert Management for the Emergency Physician

Publication subTitle :Expert Management for the Emergency Physician

Author: Michael C. Bond; Andrew D. Perron; Michael K. Abraham  

Publisher: Cambridge University Press‎

Publication year: 2013

E-ISBN: 9781107597747

P-ISBN(Paperback): 9781107696617

Subject: R4 Clinical Medicine

Keyword: 临床医学

Language: ENG

Access to resources Favorite

Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Orthopedic Emergencies

Description

Acute care physicians are frequently faced with diagnosing and treating orthopedic emergencies with limited resources and without immediate specialist availability. Orthopedic Emergencies focuses on the acute management and stabilization of orthopedic injuries with specific recommendations on procedures and the stabilization of fractures and dislocation. The topics are organized anatomically with additional chapters on Procedures, Reduction Techniques, and Immobilization and Splinting. The information needed for a rapid diagnosis is available instantly through the bullet-point-style text, diagrams, images, pearls and pitfalls. There are specific recommendations on which splint to apply and how to position the affected limb, as well as advice on when to arrange follow up with an orthopedist or sports medicine physician. The spiral binding allows the book to lay flat for easy use at the bedside, making Orthopedic Emergencies the ideal companion for all emergency medicine providers including emergency department physicians, sports clinics, family medicine practitioners and mid-level providers.

Chapter

Prognosis

Metacarpal bone fractures and dislocations

Metacarpal head fracture

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Metacarpal neck fracture

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Metacarpal shaft fracture

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Metacarpal base fracture

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Carpometacarpal joint dislocation

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Phalangeal bone fractures and dislocations

Proximal and middle phalangeal fracture

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Distal phalanx fracture

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Phalanx dislocation (MCP, PIP, and DIP)

MCP joint dislocation

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

PIP joint dislocation

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

DIP joint dislocation

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Nail bed injuries

Subungal hematoma

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Nail avulsion/nailbed laceration

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Tendon, ligament, vascular, and nerve injuries

Tendon injuries

Jersey finger

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Mallet finger

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Boutonniere deformity

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Ligament injuries

Ulnar collateral ligament (UCL) injury

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Vascular injuries

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Nerve injuries

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Amputation

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Selected readings and references

Chapter 2 Shoulder and elbow emergencies

Glenohumeral dislocations

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Procedures

Scapular fractures

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Clavicle fractures

Key facts

Clinical presentation

Diagnostic testing

Classification

Treatment

Prognosis

Sternoclavicular injuries

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Procedure

Acromioclavicular injuries

Key facts

Clinical presentation

Diagnostic testing

Classification

Treatment

Prognosis

Proximal humerus fractures

Key facts

Clinical presentation

Diagnostic testing

Classification

Treatment

Prognosis

Humeral shaft (diaphyseal) fractures

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Procedure

Upper extremity nerve injuries

Key facts

Clinical presentation

Diagnostic imaging

Treatment

Prognosis

Elbow dislocations

Key facts

Clinical presentation

Diagnostic testing

Classification

Treatment

Prognosis

Procedure

Nursemaid’s elbow

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Procedures

Epicondylitis

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Procedure

Radial head fractures

Key facts

Clinical presentation

Diagnostic testing

Classification

Treatment

Prognosis

References

Chapter 3 Pelvic emergencies

Pelvic fractures

Key facts

Anatomy

Signs of pelvic fracture

Physical examination

Classification system

Specific pelvic fractures

Avulsion fractures

Symptoms

Diagnosis (Figure 3.1)

Treatment

Non-displaced pelvic fractures

Pubic ramis fractures

Mechanism

Symptoms

Diagnosis

Treatment

Ischial body fractures

Mechanism

Symptoms

Diagnosis

Treatment

Ilium fractures

Mechanism

Symptoms

Diagnosis

Treatment

Sacral fractures

Mechanism

Symptoms

Diagnosis

Treatment

Coccyx fractures

Mechanism

Symptoms

Diagnosis

Treatment

Displaced pelvic fractures

Mechanism

Symptoms

Diagnosis

Treatment

Acetabular fractures

Anatomy

Mechanism

Symptoms

Diagnosis

Treatment

Hip fractures

Anatomy

Fracture classification

Femoral head fractures

Mechanism

Symptoms

Diagnosis

Treatment

Femoral neck fractures

Mechanism

Symptoms

Classification system

Diagnosis

Treatment

Intertrochanteric fractures

General

Mechanism

Symptoms

Diagnosis

Treatment

Trochanteric fractures

General

Mechanism

Symptoms

Diagnosis

Treatment

Subtrochanteric fractures

General

Mechanism

Symptoms

Diagnosis

Treatment

Hip dislocations

General

Classification of posterior hip dislocations

Mechanism

Symptoms

Diagnosis

Treatment

Femur fractures

General

Mechanism

Symptoms

Diagnosis

Treatment

Bursitis

Mechanism

Symptoms

Diagnosis

Treatment

Chapter 4 Knee and leg emergencies

Knee injuries – general approach

Key facts

Clinical presentation

Physical examination

Other special knee tests in the ED

Diagnostic testing

Treatment

Prognosis

Knee dislocations

Key facts

Clinical presentation

Diagnostic testing

Treatment (Table 4.1)

Prognosis

Meniscal injuries of the knee

Key facts

Clinical presentation

Physical examination

Diagnostic testing

Treatment

Prognosis

Anterior cruciate ligament (ACL) injuries

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Posterior cruciate ligament (PCL) injuries

Key facts

Clinical presentation

Physical examination

Diagnostic testing

Treatment

Prognosis

Medial collateral ligament (MCL) injuries

Key facts

Clinical presentation

Physical examination

Diagnostic testing

Treatment

Prognosis

Lateral collateral ligament (LCL) injuries

Key facts

Clinical presentation

Physical examination

Diagnostic testing

Treatment

Prognosis

Posterolateral corner (PLC) of the knee injury

Key facts

Physical examination

Diagnostic testing

Treatment

Prognosis

Tibial plateau fractures

Key facts

Clinical presentation

Physical examination

Diagnostic testing

Treatment

Prognosis

Tibia and fibula fractures or dislocations

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Quadriceps tendon rupture/patellar tendon rupture

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Patellar dislocations

Key facts

Clinical presentation

Diagnostic testing (Figure 4.17 A, B)

Treatment

Prognosis

Patellar fractures

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

References

Chapter 5 Foot and ankle emergencies

Achilles tendon injuries

Presentation

Physiology

Diagnostic work-up

Treatment

Prognosis

Ankle fractures and dislocations

Presentation

Physiology

Diagnostic evaluation (Figures 5.2A, B and 5.3)

Treatment

Prognosis

Hind foot and mid-foot injuries

Presentation

Diagnostic work-up

Treatment

Prognosis

Foreign bodies

Presentation

Diagnostic evaluation

Treatment

Prognosis

Infections

Presentation

Diagnostic work-up

Treatment

Prognosis

References

Chapter 6 Spine emergencies

Acute spine injuries: Cervical, thoracic, and lumbar spine fractures and the spine-injured patient

Key facts

Evaluation and management

Emergency evaluation: ABCDE

Neurologic evaluation (Tables 6.1, 6.2, 6.3)

Initial radiographic evaluation in the spine trauma patient

Special patient population: Ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis (DISH)

Emergency management of the spine-injured patient

Cauda equina syndrome

Key facts

Symptoms

Physical examination findings

Treatment

Spinal epidural abscess (SEA)

Key facts

Incidence and microbiology

Risk factors for spinal epidural abscess

Clinical presentation and diagnosis

Treatment

Vertebral compression fractures

Key facts

Clinical evaluation and imaging

Treatment

Lumbar disc herniation

Key facts

Clinical presentation and physical examination

Treatment

References

Chapter 7 Pediatric orthopedic emergencies

Key facts

Unique features of pediatric fractures

General principles

Buckle fractures

Greenstick fractures

Plastic deformation

Growth plate injury

Key facts

Description

Epidemiology

Incidence

Prevalence

Etiology

Salter–Harris classification

Physical examination

Tests

Treatment

Follow-up

Surgery

Prognosis

Monitoring

Osgood–Schlatter disease

Key facts

Description

Epidemiology

Incidence

Prevalence

Etiology

Intrinsic risk factors

Physical examination

Tests

Treatment

Follow-up

Prognosis

Child abuse/non-accidental trauma

Epidemiology

Risk factors

Signs and symptoms

Fractures highly suspicious of abuse

Fractures moderately suspicious of abuse

Diagnosis

Tests

Treatment

Prognosis

Spinal cord injury without radiographic abnormality (SCIWORA)

Key facts

Description

Epidemiology

Initial evaluation

Test

Treatment

Transient synovitis

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Slipped capital femoral epiphysis (SCFE)

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Selected readings and references

Chapter 8 Orthopedic infections and other complications

Septic arthritis

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Infectious tenosynovitis

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Clenched fist injuries

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Osteomyelitis

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Vertebral osteomyelitis and discitis

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Open fracture management

Key facts

Compartment syndrome

Key facts

Clinical presentation

Diagnostic testing

Treatment

Prognosis

Selected readings and references

Chapter 9 Procedures for orthopedic emergencies

Local anesthetics

Key facts

Indications

Contraindications

Risks

General suggestions

Regional anesthetics

Hematoma block

Contraindications

Supplies needed

Technique

Regional anesthesia

(Bier block)

Indications

Contraindications

Supplies

Procedure

Two-tourniquet technique

Results

Ulnar nerve block at the elbow

Ulnar nerve block at the wrist

Supplies

Positioning

Anatomy

Procedure

Radial nerve block at the elbow

Radial nerve block at the wrist

Supplies

Positioning

Anatomy

Procedure

Digital block

Supplies

Positioning

Anatomy

Procedure

Ring block

Supplies

Positioning

Anatomy

Procedure

Femoral nerve block

Supplies

Positioning

Anatomy

Procedure

Arthrocentesis

Indications

Contraindications

Equipment

Technique

Key anatomy

Fluid analysis

Complications

Nail trephination

Indications

Techniques

Complications

General fracture-reduction techniques

Indications

Key anatomy/techniques

Specific sites

Complications of closed reductions

Ankle dislocation

Key facts

Clinical presentation (see Chapter 5: Foot and ankle emergencies)

Fast facts

Reduction techniques (see Figure 9.15)

Post reduction

Clavicle dislocations/fractures

Key facts

Clinical presentation (see Chapter 2: Shoulder and elbow emergencies)

Fast facts

Treatment

Closed reduction technique (Figure 9.16)

Post reduction

Elbow dislocations

Key facts

Clinical presentation (see Chapter 2: Shoulder and elbow emergencies)

Fast facts

Prior to reduction attempts

Treatment

Post reduction

Prognosis

Fibular dislocations

Key facts

Clinical presentation (see Chapter 4: Knee and leg emergencies)

Fast facts

Treatment

Post reduction

Prognosis

Finger dislocations

Key facts

Clinical presentation (see Chapter 1: Hand and wrist emergencies)

Fast facts

Treatment

Post reduction

Prognosis

Hip dislocation

Key facts

Clinical presentation (see Chapter 3: Pelvic emergencies)

Treatment

Post reduction

Prognosis

Knee dislocation

Key facts

Clinical presentation (see Chapter 4: Knee and leg emergencies)

Fast facts

Treatment

Post reduction

Patella dislocations

Key facts

Clinical presentation (see Chapter 4: Knee and leg emergencies)

Treatment

Post reduction

Radial head subluxation/dislocation

Key facts

Clinical presentation (see Chapter 7: Pediatric orthopedic emergencies)

Fast facts

Treatment

Post reduction

Post reduction

Shoulder dislocations

Key facts

Clinical presentation (see Chapter 2: Shoulder and elbow emergencies)

Fast facts

Treatment

Post reduction

Wrist fractures/dislocations

Key facts

Clinical presentation (see Chapter 1: Hand and wrist emergencies)

Treatment

Post reduction

References

Chapter 10 Immobilization and splinting

General

Splint material (Figures 10.1 and 10.2)

Sugar tong splint (Figure 10.3)

Indications

Materials

Application

Double sugar tong splint

Indications

Materials

Application

Reverse sugar tong splint (Figure 10.6)

Volar splint (Figure 10.9)

Indications

Materials

Application

Dorsal splint (Figure 10.11)

Indications

Materials

Application

Posterior long-arm splint (Figure 10.13)

Indications

Materials

Application

Posterior leg splint (Figure 10.15)

Indications

Materials

Application

Stirrup splint (Figure 10.19)

Indications

Materials

Application

Thumb spica splint (Figure 10.22)

Indications

Materials

Application

Ulnar gutter splint (Figure 10.26 and Figure 10.27)

Indications

Materials

Application

Radial gutter splint (Figure 10.30)

Indications

Materials

Application

Immobilization devices

Knee braces

Arm slings

CAM walking boots

Other devices

References

Index

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