Pediatric MSK
Musculoskeletal
Pediatric Cases
A 9-year-old female presented with left shoulder pain. She has a history of multiple dislocations and, as seen here on POCUS, is able to reduce the dislocation herself.
Julie Klensch, PEM Fellow & Paul Khalil, MD
University of Louisville/Norton Children's Hospital
16-year-old male presented with acute onset sharp pain to his LE and inability to bare weight after having landed oddly while playing basketball. POCUS revealed a near-complete disruption of his Achilles Tendon.
Paul Khalil, MD. Assistant PEM POCUS director at University of Louisville/Norton Children’s
@Khalil3Paul
Posterior fat pad aka Sail sign, is one of the common findings that we look for after a traumatic elbow injury that can indicate an underlying fracture. It represents hemarthrosis pushing the fat pad superiorly causing the triceps tendon to tilt. Plain films has been used as the initial modality of choice to look for sail sign but POCUS has been shown to be highly sensitive (97%) and specific (88%). It can be seen as anechoic fluid between the olecranon, humerus and fat pad. Source: Avci et. al. (PMID: 27645809). Also note the broken crystal on this image causing a dark artifact anteriorly.
Dr. Maan Al Dubayan, Steven Greenstein, and Matthew Riscinti - Kings County Emergency Medicine
Nursemaid's pre and post reduction.
Nathan Jia, Orthopedic Resident