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Emergency Medicine Cases

Ep 121 Elbow Injuries – Ten Pitfalls in Diagnosis and Management

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 26 February 2019

⏱️ 75 minutes

🧾️ Download transcript

Summary

In this main episode podcast we discuss the pitfalls in the diagnosis and management of elbow injuries and answer questions such as: What is an easy way to remember the surgical indications for radial head fractures? What is the significance of a coronoid process fracture and how does it change management when seen with a radial head fracture? What is the best way to assess for pronation and supination of the forearm? Why is it so important to assess for the extensor mechanism on physical exam for patients with olecranon fractures? What is a quick easy way to test the peripheral nerves of the upper extremities? Which often missed soft tissue injuries of the elbow require urgent operative management? and many more...

Transcript

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0:00.0

There's perhaps no joint in the human body so critical to daily function, yet so cast aside

0:05.5

as the humble elbow.

0:07.8

It seems all the love of the upper extremity is reserved for the shoulder, the wrist, and of course,

0:14.1

the precious hand.

0:15.7

But what about the unsung hero, the elbow, completely left behind?

0:20.6

Today, that changes. We now dedicate an

0:24.1

entire main episode podcast to the ED diagnosis and management of elbow injuries. We explore

0:30.1

the common search satisfying that too often occurs with these injuries, you know, the

0:34.8

missecond injury. We review the high-yield physical exam

0:38.7

maneuvers that we so often cut corners on. We clarify easy-to-miss x-ray findings. We open the

0:45.5

world of vascular, neurologic, and mechanical complications, and we help you confidently decide

0:51.0

on disposition. Is this podcast going to be high-intensity, life-saving EM gold?

0:57.8

Well, no.

0:59.6

Will it help you prevent bad functional outcomes and chronic disability or a chart review

1:03.8

by your chief?

1:05.1

You better believe it.

1:07.2

So, to help us become all-star diagnosticians and clinicians for our patients with elbow injuries, we have the mighty return of, you guessed it, Dr. Aaron Cial.

1:16.9

Most of you know them from the incredible Caste course, or from speaking at EMU, or from the multitude of EM cases episodes, my fave being the one that we did on knee injuries, Dr. C.L. I hear that you're actually speaking at

1:29.7

the essentials of EM this year. Yeah, that's kind of a nice surprise. Sure, in May, heading down to Vegas.

1:37.3

Awesome. Whatever happens in Vegas stays in Vegas, right? Okay. So I told my wife.

1:43.0

All right. And joining us for the first time on EM cases.

1:46.2

It's my pleasure and honor to introduce to you,

...

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