Emergency Medicine Book

Traumatic Injury

  • Musculoskeletal Trauma

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Musculoskeletal Trauma

Aka: Musculoskeletal Trauma, Orthopedic Trauma
  1. See Also
    1. Trauma Evaluation
    2. Cervical Spine Injury
    3. Lumbar Spine Trauma
    4. Thoracic Spine Trauma
    5. Rib Fracture or Flail Chest
    6. Pelvis Fracture
    7. Hip Fracture
    8. Musculoskeletal Exam
    9. Neurologic Exam
    10. Musculoskeletal Anatomy
    11. Musculoskeletal Injury
  2. Precautions
    1. See Trauma Evaluation for systematic musculoskeletal evaluation in Trauma
    2. This topic focuses on the general approach to be applied to each region in the Trauma Secondary Survey
      1. See Musculoskeletal Injury for a localized evaluation
  3. Examination: Extremeties
    1. Approach: Every extremity injury
      1. Include examination of joint above and below the involved joint
      2. Include sensory, motor and vascular exam
      3. Include skin and compartment exam
      4. Mallon (2013) Shoulder Disorders, EM Bootcamp, Las Vegas
    2. Vascular exam
      1. Pulses
      2. Capillary Refill
    3. Neurologic Exam
      1. Motor Exam
      2. Sensory Exam
      3. Reflex Exam
  4. Diagnostics
    1. Consider angiography if Fracture with vascular compromise
    2. Consider Compartment Pressures
  5. Associated Conditions
    1. Compartment Syndrome
    2. Digital Fracture
    3. Fracture with vascular compromise
      1. Posterior Knee Dislocation
      2. Supracondylar Femoral Fracture
      3. Suprecondylar Humeral Fracture

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