Hoshino C. Max, Tiberi John V., Harris Thomas G. Orthopaedic Emergency and Office Procedures

Wolters Kluwer, Lippincott Williams & Wilkins, 2014. — 191 p.The goal of this book is to aid medical students, allied health professionals, and physicians in understanding and performing common musculoskeletal procedures. As medical students and junior residents, we frequently referred to handbooks before treating patients.
For instance, when treating a patientwith a distal radius fracture, we would use a handbook.
to review the relevant anatomy, radiographic parameters, andindications for surgery. However, often the handbook would advise a "closed reduction and immobilization," with the important technical details required to perform the procedure absent. As we quickly found out, no book existed that detailed the steps that are required to properly reduce and immobilize common injuries that we were encountering. Instead, information regarding cast and splint application, local anesthesia administration, and reduction techniques was passed down to us by our supervising residents, fellows, and attending physicians.
We began to document the steps required for common procedures, so as we progressed,
through our training, to become the supervising physicians, we would have a consistent foundation of information. Orthopaedic Office and Emergency Procedures is the result of these notes. lhis text provides the clinician with a step-by-step guide to performing the most common musculoskeletal procedures. We detail the steps required to properly treat both patients with acute injuries in the emergency room and degenerative conditions in the office. Each procedure is described from start to finish, with recommended anesthesia.
techniques, patient positioning, steps required to complete each task, and proper immobilization (if required). Additionally, practical tips andtricks thatwe have learned by treating large number ofpatients are described.
Since the bookwas created from our clinical experience, it represents our bias in treating these conditions. Inmany cases, there are multiple techniques that can beimplemented with good clinical results. While we did attempt to provide alternative approachs for many procedures, the reader should use their clinical judgment to determine the best treatment for an individual patient. We hope that readers find this a useful guide to aid them in the treatment of their patients.Basics of Splint and Cast.
Application.
General Principle.
Splint versus Cast.
Splint and Cast Thickness.
Splint and CastPadding.
Splint Width.
Temperature Concerns.
Wrapping Cast Material around Joints.
Splint Overwrapping Material.
Molding.
Wedging Casts.
The Upper Extremity.
Coaptation Splint.
Long Ann Posterior Splint.
Long Ann Cast.
Hanging Arm Cast.
Single and Double Sugar-Tong Splint.
Volar Wrist Splint.
Dorsal Wrist Splint.
Short Arm Cast.
Ulnar Gutter Splint.
Radial Gutter Splint.
Short Arm Castwith Outrigger.
Thumb Spica Splint.
Thumb Spica Cast.
PIP and DIP Extension Splints.
The Lower Extremity.
Long Leg Posterior Splint.
Long Leg Cast.
Cylinder Cast.
Short Leg Posterior Splint.
Short Leg Cast.
BulkyJones Splint.
The Shoulder and Arm.
Injection and Aspiration.
Glenohumeral Injection: Anterior.
Approach.
Glenohumeral Injection: Posterior.
Approach.
Subacromial Injection.
Acromioclavicular Joint Injection.
Qoeed Reducti.OllJ.
Anterior Glenohumeral Joint Dislocation.
Posterior Glenohumeral Joint Dislocation.
Inferior Glenohumeral Joint Dislocation/.
Luntio Erecta.
Proximal Humerus Fracture.
Sternoclavicular Joint Dislocation.
Clavicular Fracture.
Humeral Shaft Fracture.
Pediatric ConlideratiODS.
Pediatric Proximal Humeru3 Fracture.
The Elbow and Forearm.
Injections and Aspirations.
Elbow Joint Injection.
Olecranon Bona Aspiration/Injection.
Lateral Epicondylitis Injection.
Qoeed Reduction.
Elbow Dislotation.
Ulnar Shaft Fracture: "Nightstick.
Fracture".
Pediatric Conlideration~-Cloaed Elbow.
Reda.dionl.
Supracondylar Humerus Fractures.
Lateral Condyle Fracture.
Incarcerated Medial Epicondyle.
Radial Head/Neck Fracture.
Radial Head Subluxation: "Nursemaid's.
Elbow'".
Pediatric ConoderatiODI-Ooaed Forearm.
Reduction.
Radial and Ulnar Shaft Fractures.
Monteggia Fracture/Dislocation.
Galeazzi Fracture/Dislotation.
ProcedureforCompartmentPrelsare.
MeasurementintheForearm.
The Wrist and Hand.
Injection andAapiration.
Distal Radius Hematoma Block.
Intra-articular Wrist Injection/Aspiration.
CarpalTunnel Injection.
First Dorsal Compartment Injection.
Base ofThumb Carpometacarpel Joint.
Injection.
Digital Nerve Block.
Closed Reductions.
Distal Radius Fracture.
Perilunate Dislocation.
Metacarpal Fractures.
Bennett Fractures.
Phalangeal Fractures.
Digital Dislocations.
Mallet Finger.
Procedures.
Fingertip Injuries.
Compartment Pressure Measurement in the Hand.
The Pelvis, Hip, and.
Thigh.
Injections and Aspirations.
Intra-articular Hip Injection/Aspiration.
Trochanteric Bursa Injection/Aspiration.
Closed Reductions.
Anterior-Posterior Compression Pelvic.
Fracture.
Hip Dislocation.
Anterior Hip Dislocation.
Posterior Hip Dislocation.
Procedures.
Compartment Pressure Measurement in the Thigh.
The Knee and Leg.
Injections andAspirations.
Intra-articular Knee Injection/.
Aspiration.
Superomedial/Lateral Approach.
Anteromedial/Lateral Approach.
Closed Reductions.
Knee Dislocation.
Patellar Dislocations.
Tibial Shaft Fractures.
Procedures.
Skeletal Traction.
Distal Femoral Traction Pin.
Proximal Tibial Traction Pin.
Compartment Pressure Measurement.
in the Leg.
Pediatric Considerations.
Physeal Injury: Distal Femur.
Physeal Injury: Proximal Tibia.
The Ankle.
Injections andAspirations.
Intra-articular Ankle Injection and Aspiration.
Antero-medial and Antero-lateral.
Regional Ankle Block.
Posterior Tibial Nerve Block.
Deep Peroneal Nerve Block.
Ring Block: Superficial Peroneal, Sural, and.
Saphenous Nerve Blocks.
Fractures and Dislocations.
Reduction ofAnkle Fractures and.
Dislocations.
The Foot.
Injections andAspirations.
Plantar Fascia Injection.
Subtalar Joint Injection and Aspiration.
Sinus Tarsi Approach.
Digital Toe Block.
Fractures and Dislocations.
Reduction of Tongue-Type Calcaneal.
Fractures.
Evaluation and Reduction ofTalar Neck.
Fractures.
Reduction of Subtalar Joint Dislocations.
Evaluation and Reduction ofEmergent.
Midfoot Injuries.
Evaluation and Treatment ofForefoot.
Fractures: Closed-Reduction.
Techniques.
Procedures.
Compartment Pressure Measurement in the Foot.
Evaluation and Treatment ofIngrown.
Toenails.