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em@3am

EM@3AM: Knee Dislocation

A 21-year-old male is brought to the ED by EMS after an MVC at 60 mph. He is complaining of severe right lower extremity pain, which EMS splinted. You find no other injuries on your exam, but upon removal of the splint, the patient has a clear deformity. You cannot detect a dorsalis pedis or posterior tibialis pulse on the right. What’s the next step in your evaluation and treatment?

CORE EM

CORE EM: Subtalar Dislocation

A rare ankle injury that occurs with disruption of the talo-navicular and talocalcaneal joints. Not to be confused with “ankle” (tibio-talar) dislocation!