Practice Management
A 16-year-old female presents to urgent care with her mother after soccer practice at school. She says she felt a “pop” in her left hip, immediately followed by posterior hip pain. Walking makes it worse, but resting makes the pain better. An x-ray is ordered. Review the image and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
Read MoreA 19-year-old college student presents to an urgent care center with pain at the distal interphalangeal (DIP) joint of the middle finger of his right hand. He reports that the pain started suddenly the previous evening when the finger was jammed while he was playing basketball. The pain is worse through the range of motion, but there is no numbness and no pain at the proximal interphalangeal (PIP) joint.
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Visits to the emergency room for sports injuries in children between the ages of 5 and 18 years rose every year from 2001 to 2013, with three quarters of those injuries attributed to football, soccer, baseball, and basketball, according to new data from the U.S. Consumer Product Safety Commission’s National Electronic Injury Surveillance System. All told, there were nearly half a million emergent injuries in 100 hospital emergency departments during the study period—translating to an …
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