- Arthrocentesis (Elbow)
- Arthrocentesis (Knee)
- Arthrocentesis (Wrist)
- Compartment Pressure Measurement
- Dislocation Reduction (Elbow)
- Dislocation Reduction (Finger)
- Dislocation Reduction (Patella)
- Dislocation Reduction (Hip)
- Dislocation Reduction (Knee)
- Dislocation Reduction (Shoulder)
- Nursemaid Elbow Reduction
- Splinting (Buddy Tape)
- Splinting (Finger)
- Splinting (Coaptation)
- Splinting (Forearm Volar)
- Splinting (Radial gutter)
- Splinting (Thumb Spica)
- Splinting (Ulnar Gutter)
- Splinting (Sugar Tong)
- Splinting (Double Sugar Tong)
- Splinting (Long Arm Posterior)
- Splinting (Sling and Swathe)
- Splinting (Long Leg Posterior)
- Splinting (Ankle Stirrup)
- Splinting (Posterior Ankle)
Arthrocentesis (Elbow)
Rapid Review
- Background
- Involves puncture of elbow joint and aspiration of synovial fluid for therapeutic or diagnostic purposes.
- Indications
- Suspicion for septic arthritis or inflammatory causes such as gout, pseudogout, or rheumatologic disorders. May also be used to relieve pain and improve mobility.
- Contraindications
- No absolute contraindications. Relative contraindications include overlying skin infection, joint prosthesis, bacteremia, or anticoagulant use. Do not inject steroids into joint if infection is suspected.
- Complications
- Infection (rare), hemarthrosis, allergic reaction to anesthetic.
Pearls
Deep Dive
Arthrocentesis (Knee)
Rapid Review
- Background
- Involves puncture of knee joint and aspiration of synovial fluid for therapeutic or diagnostic purposes.
- Indications
- Suspicion for septic arthritis or inflammatory causes such as gout, pseudogout, or rheumatologic disorders. May also be used to relieve pain and improve mobility.
- Contraindications
- No absolute contraindications. Relative contraindications include overlying skin infection, joint prosthesis, bacteremia, or anticoagulant use. Do not inject steroids into joint if infection is suspected.
- Complications
- Damage to cartilage if place improperly, infection (rare), small hemarthrosis
Pearls
Arthrocentesis (Wrist)
Rapid Review
Pearls
Deep Dive
Compartment Pressure Measurement
Rapid Review
- Background
- Procedure used to assess for compartment syndrome.
- Indications
- Pain or paresthesia following fractures, crush injury, snake bites, burns, prolonged tourniquet, or infection.
- Contraindications
- No absolute contraindications. Avoid sites with overlying infection.
- Complications
- Pain, low risk of infection
Pearls
Deep Dive
Dislocation Reduction (Elbow)
Rapid Review
Pearls
Deep Dive
Dislocation Reduction (Finger)
Rapid Review
Pearls
Deep Dive
Dislocation Reduction (Hip)
Rapid Reviews
Pearls
Deep Dive
Dislocation Reduction (Knee)
Rapid Review
Pearls
Deep Dive
Dislocation Reduction (Patella)
Rapid Review
- Background
- Reduction of patellar dislocation; common in athletes and adolescent women. Dislocation may be lateral (most common), horizontal, vertical, or intercondylar
- Indications
- Lateral/medial dislocations, especially if associated with vascular compromise.
- Contraindications
- Presence of proximal tibia or distal femur fracture.
- Complications
- Osteochondral fractures (rare)
Pearls
Dislocation Reduction (Shoulder)
Rapid Review
- Background
- Reduction of anterior (most common), posterior, or inferior (rare) shoulder dislocation.
- Indications
- Uncomplicated, low force shoulder dislocations
- Contraindications
- Associated fractures of humeral neck or subclavicular/intrathoracic dislocations. Avoid multiple attempts in those with suspected nerve injuries or other common fractures (Hill-sachs deformity, bankart fracture,
- Complications
- Rare, but include fractures, neurovascular injuries, or rotator cuff injuries (rare)
Pearls
Deep Dive
Nursemaid Elbow Reduction
Rapid Review
Pearls
Deep Dive
Splinting (Buddy Tape)
Rapid Review
Pearls
Deep Dive
Splinting (Finger)
Rapid Review
Pearls
Deep Dive
Splinting (Coaptation)
Rapid Review
Pearls
Deep Dive
Splinting (Forearm Volar)
Rapid Review
Pearls
Deep Dive
Splinting (Radial Gutter)
Rapid Review
Pearls
Deep Dive
Splinting (Thumb Spica)
Rapid Review
Pearls
Deep Dive
Splinting (Ulnar Gutter)
Rapid Review
Pearls
Deep Dive
Splinting (Sugar Tong)
Rapid Review
Pearls
Deep Dive
Splinting (Double Sugar Tong)
Rapid Review
Pearls
Deep Dive
Splinting (Long Arm Posterior)
Rapid Review
Pearls
Deep Dive
Splinting (Sling and Swathe)
Rapid Review
Pearls
Deep Dive
Splinting (Long Leg Posterior)
Rapid Review
Pearls
Deep Dive
Splinting (Ankle Stirrup)
Rapid Review
Pearls
Deep Dive
Splinting (Posterior Ankle)
Rapid Review
Pearls
Deep Dive
