Shoulder

Deliveries in the ED are obviously a rare event, and dystocias are a rarity inside of this rarity (representing about 0.6% to 1.4% of deliveries), but they still happen, and you need to know what to do if you end up with the catcher's mitt.  

3D video anatomy tutorials to help you revise the musculoskeletal structures of the shoulder.  

Collarbone (middle third clavicle) fractures are a common injury and account for up to 4% of all fractures. Although the majority of acute (recent injury) fractures can be treated conservatively, for instance by using a sling, there are some types of fracture that need to be surgically treated. Non-union of the collarbone, which results from failed fracture healing, is usually treated surgically when a person has pain and difficulties in using their shoulder.  

Shoulder instability is characterised by abnormal movement of the humeral head resulting in pain, subluxation, or dislocation  

Shoulder instability is characterised by abnormal movement of the humeral head resulting in pain, subluxation, or dislocation  

Guest Skeptics: Dagny Kane-Haas. Dagny is a physiotherapist who just completed her Masters degree in Clinical Science in Manipulative Therapy.  

Evaluation of the shoulder with ultrasound may appear like a daunting task in the emergency department, however with a strong understanding of the anatomy and an organized approach, the technique will rapidly become more within your realm of comfort.   

 

Doctors can use regional analgesia (injection of local anaesthetics near the nerves or the surgical site) rather than conventional pain control after surgery. Does this choice improve long-term function after elective major joint (knee, shoulder and hip) replacement? We conducted this systematic review to explore controversy about the use of regional analgesia amidst efforts to limit healthcare costs and demonstrate value for interventions.  

Educational video describing avascular necrosis of the shoulder / proximal humerus. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me...  

It’s Caturday night and you have a young, healthy male in your ED who dislocates his shoulder for the first time just 30 minutes prior to arrival. He seems like the purrfect candidate to perform a reduction without sedation, and you are paws-itive you can get the joint back in its place. You give some morphine and go for it right meow. Unfortunately, no luck. He states there is too much pain. Ultrasound guru Phil Andrus is your attending so you inject lidocaine into his shoulder joint via an ultrasound-guided spinal needle. Still no success. You think to yourself: you have got to be kitten me!  

Was this 18-year-old patient's subcutaneous emphysema of the shoulder and arm self-inflicted?