Podcast 538:  Low Maintenance Boxer's Fracture

Podcast 538: Low Maintenance Boxer's Fracture

Contributor: Jared Scott, MD

Educational Pearls:

  • A distal 5th metacarpal neck fracture is often referred to as a "boxer's fracture" and a common fracture encountered in the emergency department
  • Splinting with an ulnar gutter splint is the typical management of uncomplicated boxer's fractures
  • A recent study randomized patients to buddy taping or ulnar gutter splint for uncomplicated Boxer's fractures.
  • Similar functional and pain outcomes were found at follow-up, and those in the buddy taping group returned to work more quickly.
  • One limitation was nearly 20% of study patients were lost to follow up

Editor's note: remember - this only applies to a true boxer's fracture, which is a distal 5th metacarpal neck fracture, not just any 5th metacarpal shaft fracture

References

Richard Pellatt, Igor Fomin, Carli Pienaar, Randipsingh Bindra, Michael Thomas, Ezekiel Tan, Cindy Mervin, Ping Zhang, Gerben Keijzers. Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial, Annals of Emergency Medicine, Volume 74, Issue 1, 2019, Pages 88-97,

Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD



Jaksot(1147)

Podcast #408:  Go the hell to sleep

Podcast #408: Go the hell to sleep

Author: Don Stader, MD Educational Pearls: Recent study showed efficacy 5mg IM midazolam > 10mg IM olanzapine > 10mg IM haloperidol for quickly sedating an agitated patient If you have access, ketami...

23 Marras 20183min

Podcast #407:  Choose your own blister adventure

Podcast #407: Choose your own blister adventure

Author: Don Stader, MD Educational Pearls:   Three options for a blister in partial thickness burns:  do nothing, unroof it, or poke a hole in it Recent study suggest that aspirating the blister may ...

21 Marras 20181min

Podcast #406:  PO vs. IV Tylenol

Podcast #406: PO vs. IV Tylenol

Author: Don Stader, MD Educational Pearls: Intravenous Tylenol currently is many times more expensive than oral Single ED study comparing the two has methodology flaws and there is a lack of additi...

19 Marras 20182min

Podcast #405:  Infant Walkers

Podcast #405: Infant Walkers

Author: Don Stader, MD Educational Pearls: Recent study has revealed that infant walkers are more harmful than helpful Infant walkers can also delay motor function The American Academy of Pediatric...

16 Marras 201822s

Podcast #404: Electric Scooter Injuries

Podcast #404: Electric Scooter Injuries

Author: Sam Killian, MD Educational Pearls: Recent news articles are showing an increase in injuries related to riding electric scooters Year-to-year, scooter injuries have increased as high as thr...

14 Marras 20182min

Podcast #403:  Meniscus Lock

Podcast #403: Meniscus Lock

Author: Mark Hinton, MD Educational Pearls: Meniscus lock can occur with a tear leading to inability to extend the knee Treatment can include an intra-articular joint block followed by straightenin...

12 Marras 20183min

Podcast #402: Rapid sequence intubation medications

Podcast #402: Rapid sequence intubation medications

Educational Pearls: RSI includes induction agent (sedative) and a paralytic Succinylcholine is a depolarizing paralytic of rapid onset and short duration with contraindications in hyperkalemic states...

9 Marras 20184min

Podcast #401: Foreign Body Aspiration

Podcast #401: Foreign Body Aspiration

Author: Gretchen Hinson, MD Educational Pearls: Diagnosis can be difficult and often delayed Asymmetric breath sounds, choking, stridor may be present, but children also present asymptomatically Peak...

6 Marras 20186min

Suosittua kategoriassa Tiede

rss-mita-tulisi-tietaa
rss-poliisin-mieli
tiedekulma-podcast
utelias-mieli
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
rss-duodecim-lehti
docemilia
radio-antro
filocast-filosofian-perusteet
rss-tervetta-skeptisyytta