Orthopedics Archives

Nailed it! A guide to Fingertip Injuries

by Caroline Gregory | Jan 16, 2025 | Featured, Grand Round Summaries, Orthopedics, Recently Featured, Trauma

A stable and functional fingertip is essential for sensation, fine motor skills, grip strength, and the overall durability and cosmetic appearance of the hand. Fingertips, often the first point of contact during daily activities, are particularly susceptible to...

Multifaceted quality improvement initiatives improve rate of pediatric hand injury reduction

by Jessica Tat, Hans Rosenberg, Krishan Yadav | May 10, 2023 | Full Article, Journal Club, Orthopedics

Methodology: 2/5 Usefulness: 3/5 Market M, et al. CJEM. 2022 Jun;24(4):426-433. Question & methods: Whether quality improvement interventions could decrease the rate of repeat reductions in pediatric hand injuries by plastic surgeons. The study was conducted...

Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial

by Julie Ingratta, Jeff Perry, Hans Rosenberg | Jan 31, 2022 | Journal Club, Orthopedics

Methodology: 2/5 Usefulness: 2.5/5 Gagnon R, et al. Acad Emerg Med. 2021 Aug;28(8):848-858. doi: 10.1111/acem.14237. Question and Methods: RCT to assess if direct access to Physiotherapy (PT) in the ED could reduce pain interference on function, pain intensity as well...

Shouldering the load: Shoulder dislocations in the ED

by Zach MacDonald, Lucy Karp | Dec 9, 2021 | Featured, Grand Round Summaries, Orthopedics, Orthopedics, Radiology, Trauma, Ultrasound

Shoulder dislocations are the most common large joint dislocation encountered by emergency physicians. Given their incidence in the emergency department, managing shoulder dislocations efficiently is key to departmental flow.` Recently, Dowson et al.1 utilized a...

$Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial$

Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non-inferiority clinical trial

by Hans Rosenberg | Dec 2, 2019 | Journal Club, Orthopedics, Orthopedics, Trauma

Methodology: 4/5 Usefulness: 3.5/5 Kortekangas T, et al. BMJ. 2019 Jan 23;364:k5432 Question and Methods: This is a pragmatic, randomized, controlled trial to determine if 3 weeks of immobilization (in cast or orthosis) is non-inferior to usual treatment (6 weeks cast...

Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial

by Hans Rosenberg | Jul 22, 2019 | Orthopedics, Orthopedics

Journal Club Summary Pellatt R, et al. Ann Emerg Med. 2019 Mar 7. pii: S0196-0644(19)30059-9. Methodology Score: 3/5 Usefulness Score: 3.5/5 Question and Methods: Randomized control trial of 97 adult emergency department patients comparing buddy taping vs. ulnar...

Trial of Pregabalin for Acute and Chronic Sciatica

by Hans Rosenberg | Jul 10, 2019 | Full Article, Journal Club, Neurosurgery, Orthopedics

Journal Club Summary Methodology: 3.5/5 Usefulness: 4/5 Mathieson S, et al. N Engl J Med. 2017 Mar 23;376(12):1111-1120. Question and Methods: Double blind, randomized control trial comparing pregabalin against placebo for reducing leg pain symptoms at 8 weeks in 209...

Immobilization in external rotation combined with abduction reduces the risk of recurrence after primary anterior shoulder dislocation

by Hans Rosenberg | Jun 25, 2018 | Journal Club, Orthopedics

Methodology: 3.5/5 Usefulness: 2.5/5 Heidari K. et al. J Shoulder Elbow Surg. 2014 Jun;23(6):759-66. Journal Club Bottom Line Question & Methods: Can abduction and external rotation (AbER) immobilization after primary anterior shoulder dislocation reduce rates of...

Below the Belt Ortho: Lower Extremity Injuries Missed in the ED

by Jillian Ritsma, Richard Hoang | Nov 23, 2017 | Featured, Grand Round Summaries, Orthopedics

With the protocols and time constraints of our ED environment, it is fairly easy to fall into the trap of imaging prior to examining our orthopedic patients. This may result in missed injuries, as we tend to base our diagnosis on the X-ray, rather than the patient...