atlantoaxial subluxation

Clinic A/P, adults, MUSCULOSKELETAL

If rheumatoid arthritis patient is seen for Preop, imaging of the patient’s cervical spine to detect atlantoaxial subluxation is important for preventing a catastrophic spinal cord injury during intubation. In many cases cervical fusion must be performed before other...

Subacromium Bursitis, Acute

Clinic A/P, adults, MUSCULOSKELETAL

Acute subacromial bursitis / Subacromium Bursitis -Is often associated with calcific deposits in the supraspinatus tendon, pain on abduction, and local tenderness.  

Osteonecrosis of the femoral head / Legg-Calvé-Perthes disease

Clinic A/P, Peds, MUSCULOSKELETAL

Osteonecrosis of the femoral head / Legg-Calvé-Perthes disease “A 7-year-old female is brought to your office with a complaint of right hip pain and a limp with an insidious onset. There is no history of injury or repetitive use. Her vital signs are within...

Ottawa Ankle Rules

MUSCULOSKELETAL

** These rules guide you to determine whether you should get an ankle XR alone, a foot XR alone, ankle and foot XR or no XR at all. MDCalc.com link. – If a patient cannot walk 4 steps by themselves at the scene and with the provider (ER, clinic, etc), they buy...

drug-induced myopathy / Statin-induced myopathy

Clinic A/P, adults, MUSCULOSKELETAL

-Will order Creatine Kinase- which is associated with elevated creatine kinase. -ESR / CRP to eval PMR in this pt > 50 DDx Polymyalgia rheumatica is usually associated with an elevated erythrocyte sedimentation rate. Guillain-Barré syndrome is associated with...

Clavicular fractures (Clavicle Fractures)

Clinic A/P, adults, Clinic A/P, Peds, MUSCULOSKELETAL

80% of clavicular fractures are mid-shaft fractures (occur in the mid-clavicle). Nondisplaced -Treat with a sling for 2–6 weeks. -Passive range of motion of the shoulder is indicated as soon as the pain allows. -Physical therapy may be started at 4 weeks after the...