Orthopedic Case Report

Urgent Message: Proximal humerus fractures most commonly occur in older patients after a fall and can be sentinel events that offer an opportunity to identify undiagnosed medical conditions or unsafe home environments. Lauren Schuermann, MS4; Shivani Kothari, MS4; W. Bradley Strauch, MD Citation: Schuermann L, Kothari S, Strauch B. Urgent Care Recognition and Management of Proximal Humerus Fractures. J Urgent Care Med. 2024; 19(2): 13-19 Questions for the Clinician at the Bedside What are the common mechanisms for proximal humerus fractures? What complications may be encountered in patients with proximal …
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Urgent Message: Fractures of the distal radius, commonly referred to as Colles fractures, most often occur after a fall onto an outstretched hand. Their immediate urgent care management may require only splinting or a same day emergency department visit depending on certain factors. Citation: Bunstine JL, Hartz C. Urgent Care Diagnosis and Management of Distal Radial (Colles) Fractures. J Urgent Care Med. 2024; 19(1):15-19 Editor’s Note: While the images presented here are authentic, the patient case scenarios are hypothetical. Questions for the Clinician at the Bedside: What is a Colles …
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Urgent Message: Clinicians should inquire about the mechanism of injury when a patient presents with ankle pain and consider x-ray that includes the ankle, tibia, and fibula to evaluate for the possibility of Maisonneuve fracture, especially when pain in the inferiolateral knee is also present. Willie O’Neal, MD; Bradley Strauch, MD Citation: O’Neal W, Strauch B. Urgent Care Recognition and Management of Maisonneuve Fractures. J Urgent Care Med. 2024; 18 (11): 21-28 Editor’s Note: While the images presented here are authentic, the patient case scenarios are hypothetical. Questions For the …
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Naushair Hussain, DO; Shahmeer Hussain, DO; Clinton A. Hartz, MD Urgent Message: Scaphoid fractures most frequently occur at the mid aspect, or “waist,” of the scaphoid, and require about 10 weeks of prolonged immobilization before slow return to normal function. Such fractures have high risk of complications and subsequent chronic pain and/or disability if not appropriately immobilized. Citation: Hussain N, Hussain S, Hartz C. Urgent Care Management of Scaphoid Fracture. J Urgent Care Med. 2024; 18(9):13-16 Editor’s Note: While the images presented here are authentic, the patient case scenarios are …
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Urgent Message: With hyperabduction and hyperextension of the thumb, the ulnar collateral ligament may be stretched or torn, or may avulse a segment of bone from its insertion point. Radiographic imaging of suspected “gamekeeper’s thumb” must be obtained to evaluate for an associated fracture, which may change the decision for conservative vs surgical management. Omar Jafry, MS-3; W. Bradley Strauch, MD Citation: Jafry O, Strauch WB. Urgent Care Evaluation and Management Of Injury to the Ulnar Collateral Ligament of the Thumb (‘Gamekeepers Thumb’). J Urgent Care Med. 2024; 18(9):26-29 Editor’s …
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