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Title: What's the Diagnosis?

Category: Visual Diagnosis

Posted: 7/29/2013 by Haney Mallemat, MD

Question

13 year-old female fell on right shoulder while catching a rebound during a basketball game. The patient is holding her arm in adduction and has exquisite scapular tenderness on exam. What’s the next step in management? …oh, and what’s the diagnosis?

Answer

Answer: Non-displaced scapular fracture

Treatment:

  • Analgesics (NSAIDs)
  • Non-displaced fractures require sling and swath immobilization
  • Orthopedic reduction for displaced fractures.
  • Early range-of-motion exercises
  • Beware post-traumatic arthritis or bursitis as complications

Bonus Pearls: #foam4yrdome

This installment of #foam4yrdome will focus on freeemergencytalks.net which is quite possibly the best Critical Care and Emergency Medicine FREE lecture website.

The website was founded and is maintained by Professor Joe Lex (@joelex5); the website hosts hundreds of free talks.

Check out talks from all the major conferences featuring the best speakers in Emergency and Critical care medicine today.

References

Follow me on Twitter (@criticalcarenow) or Google+ (+criticalcarenow)


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