Scaphoid Fracture

Urgent Care Management of Scaphoid Fracture

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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Gamekeeper’s Thumb

Urgent Care Evaluation and Management Of Injury to the Ulnar Collateral Ligament of the Thumb (Gamekeeper’s Thumb)

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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Boxer's Fractures

Urgent Care Evaluation and Management of Boxer’s Fractures

Urgent Message: Boxer’s fractures are among the most common hand fractures and should be suspected in cases of closed fist injury. Additionally, a laceration that accompanies a boxer’s fracture may represent a fight bite, which should be treated to reduce the risk of infection. Jennifer Hicks, DO; Bradley Strauch, MD Citation: Hicks J, Strauch WB. Urgent Care Evaluation and Management of Boxer’s Fractures. J Urgent Care Med. 2024; 18(8):32-36 Editor’s Note: While the images presented here are authentic, the patient case scenarios are hypothetical. Clinical Scenario An 18-year-old male presents …
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Proximal 5th Metatarsal Fractures

Urgent Care Evaluation and Management Of Proximal 5th Metatarsal Fractures

Urgent Message: It’s important to recognize the difference between a proximal 5th metatarsal fracture of the tuberosity alone and a proximal metaphyseal fracture, commonly referred to as a “Jones fracture.” A Jones fracture requires full immobilization with urgent surgical referral. Michael B. Weinstock, MD; Kelly Moore, BS Citation: Weinstock M, Moore K. Urgent Care Evaluation and Management Of Proximal 5th Metatarsal Fractures. J Urgent Care Med. 2024 18(7):25-28 Editors’ Note: While the images presented here are authentic, the patient case scenarios are hypothetical. Clinical Scenario A previously healthy 46-year-old man …
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