Thursday, January 9, 2014

OUCH! Forearm Fractures Board Review

Author: Meaghan Mercer, DO; AAEM/RSA President

Galeazzi Fractures: A typically isolated radial fracture with subluxation or dislocation of the ulnar head.
  • Injury to a division of the median nerve known as the anterior interosseous nerve (AIN) can occur.
  • AIN palsy can cause paralysis of the flexor pollicis longus and flexor digitorum profundus muscles.
        o Clinical manifestations: loss of the pinch mechanism between the thumb and index finger, ability to pronate forearm, and the ability to flex the thumb, index, and middle fingers.
  • Requires open reduction and internal fixation (ORIF) in adults

Understanding the Urgent Care Clinic

Originally Published: Common Sense, Nov/Dec 2013

Original Author: Edward Siegel, MD MBA; AAEM/RSA Publications Committee Chair

Recently a family member tried to call me regarding a minor medical problem. Unfortunately I was working at the time, and our emergency department is the place where cell phone reception goes to die.