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Note: Page numbers of article titles are in boldface type. A Abscess, epidural, 822 824 Achilles tendon rupture, 894 895, 981 982 Acromioclavicular separations, shoulder pain in, 751 753 Adhesive capsulitis, shoulder pain in, 754 Analgesics, in acute fractures in geriatric adults, 932 934 Anesthesia, in wound management, 955 957 Ankle, fracture-dislocations of, 892 fractures of, classification of, 890 892 injuries of, in children, 914 915 sprains of, 887 890 diagnostic imaging in, 889 initial treatment of, 889 890 lateral, 887 888 medial, 888 syndesmotic, 888 889 Anterior cord syndrome, 733 Anterior cruciate ligament, injuries of, 866 868 Arteries, vertebral, injury of, and cervical spine, 731 733 Arthritis, septic, shoulder pain in, 743 745 B Back pain, causes of, 811 812 clinical history of, assessment of, 812 813 diagnostic testing in, 816 emergency department evaluation, management, and treatment of, 811 839 in cancer, 811 812 in children, 828 830 incidence of, 811 laboratory testing in, 817 lower back, nonspecific, 820 magnetic resonance imaging in, 817 818 pharmacotherapy in, 818 819 physical examination in, 813 816 slump test in, 815 816 straight leg raise in, 815 Barton fracture, 805 Bennett fracture, of thumb, 791 792 Bicipital tendinosis/biceps tendon rupture, shoulder pain in, 755 Bites, wound management in, special considerations for, 961 962 Bone, pediatric, anatomy of, 907, 908 Emerg Med Clin N Am 28 (2010) 997 1003 doi:10.1016/s0733-8627(10)00098-2 0733-8627/10/$ see front matter ª 2010 Elsevier Inc. All rights reserved. emed.theclinics.com

998 Boutonniere deformity, 794, 795 Boxer fracture, 792 Brown-Séquard syndrome, 733 C Calcaneal fractures, 899 901, 984 985 Cancer, back pain in, 811 812 Capitate injuries, 801 Carpal instability, 802 804 Central cord syndrome, 733 Cervical spine, acute trauma of, evaluation and management of, 719 738 anatomy of, 720 723 axial compression injury of, 723 724 blood supply to, 722 723 extension teardrop fracture of, 727 728, 729 flexion injuries of, 725 727, 728 imaging of, 733 734 injuries of, airway management in, 731 732 clinical assessment of, 731 cord-level findings in, 732 733 disposition of, 736 emergency department evaluation of, 731 733 emergency department management of, 734 736 prehospital management of, 730 731 multiple or complex mechanism of, 724 725, 726 pathophysiology of, 723 729 vertebral artery injury and, 728 729 vertebral ligaments and, 722 Child abuse, orthopedic injuries in, 915 916 Child(ren), ankle injuries in, 914 915 back pain in, 828 830 bone of, anatomy of, 907, 908 distal radial fracture in, 909, 910 911 fracture of elbow in, 912 913, 914, 915 fracture types in, 908 915 growth plate fracture in, 987 989 orthopedic emergencies in, 907 926 with limp, 917 923 diagnosis of, pitfalls of, 921, 923 differential diagnosis of, 917, 918 history taking in, 917, 919 imaging studies in, 920 management of, 921, 922 physical examination in, 917 919 Clavicle, fractures of, shoulder pain in, 749 750 Closed-fist injury: fight bite, 978 979 Coccydynia, 820 821 Collateral ligament, lateral, injuries of, 868 869 medial, injuries of, 869 870 Colles fracture, 805 806 Compartment syndrome, 985 987

999 D Dermatome map, 732 E Ears, wound management in, special considerations for, 960 Elbow, dislocations of, 776 781 management of, 777 780 fracture of, in pediatric patient, 912 913, 914, 915 injuries of, 771 783 abnormalities of, 773 and forearm injuries, management and treatment of, 765 787 radiographs in, 772 775 ligaments of, 771 772 muscles of, 772 nerves crossing, 772 olecranon injuries and, 776, 777 supracondylar fractures of, 774 775 Epidural abscess, 822 824 Epinephrine, in wound management, 958 Essex-Lopresti injury, 769 771 Eyebrow and eyelid, wound management in, special considerations for, 960 F Femoral nerve blocks, 932 934 Femur, intertrochanteric fractures of, 853 proximal, fractures of, 850 853 Fibula shaft, fractures of, 885 887 Forearm, anatomy of, 765 766 fractures of, 766 771 injuries of, and elbow injuries, management and treatment of, 765 787 Foreign bodies, management of, special considerations for, 960 961 Fractures. See also specific types of fractures. acute, in geriatric adults. See Geriatric adults. types of, pediatric, 908 915 G Galeazzi fracture-dislocation, 767 Galeazzi-Monteggia fracture-dislocation, 971 972 Geriatric adults, acute fracture in, analgesic alternatives in, 932 934 care models of, 936 939 disposition considerations in, 939 940 management of, 937, 938 pain management in, 931 932 pharmacology for, 929 932 physiology of, 928 929 visits to emergency department, 927 928 with hip fracture, pathway for, 939, 940 Glenohumeral dislocations, shoulder pain in, 745 748 Growth plate fracture, pediatric, 987 989

1000 H Hamate injuries, 798 800 Hand, dislocations of, 795 796 fractures of, 790 795 injuries of, and wrist injuries, emergent evaluation and treatment of, 789 809 ligament and tendon injuries of, 796 797 radiograph of, 790 Hangman s fracture, 727, 728 Hip, anatomy of, 848 851 dislocation of, 854 856 fractures of, 851 854 pathway for elderly patients with, 939, 940 injuries of, and pelvic injuries, management and treatment of, 841 859 incidence of, 848 Humerus, proximal, fractures of, shoulder pain in, 748 749 I Interphalangeal joint, proximal, dislocation of, 796 J Jones fracture, 898 899 K Knee, anatomy of, 861 862 and leg, injuries of, 861 884 dislocation of, 870 871, 979 981 injuries of, history and evaluation of, 863 imaging in, 864 866 physical examination in, 863 864 posterolateral corner of, injuries of, 868 L Leg, and hip, injuries of, 861 884 ankle, and foot injuries, 885 905 Limp. See Child(ren), with limp. Lipohemarthrosis, 873, 874 Lips, wound management in, special considerations for, 960 Lisfranc fracture-dislocation, 982 984 Lisfranc fracture/sprain, 896 897 diagnosis of, 896 897 management of, 897 Long bone diaphysis fractures, in child abuse, 916 917 Lumbar spinal stenosis, 827 828 Lumbosacral disc disease, 821 822 Lunate dislocations, 804 Lunate injuries, 801 802 Lunate/perilunate injury, 973 976

1001 M Maissoneuve fracture, 893 Metacarpal(s), digital, fractures of, 792 793 first, fractures of, 790 792 Metatarsal, proximal fifth, fractures of, 897 899 Monteggia fracture-dislocation, 767 769 N Neurogenic shock, and spinal shock, 729 730 Nursemaid s elbow, 913 914 O Odontoid fracture, type II, 725 type III, 725, 726 Olecranon injuries, 776, 777 Oral cavity, wound management in, special considerations for, 960 Orthogeriatrics, emergency, concepts and therapeutic alternatives, 927 949 Orthopedic emergencies, pediatric, 907 926 Orthopedic injuries, high-risk, emergency treatment of, risk management and avoiding legal pitfalls in, 969 996 in child abuse, 915 916 in lower extremity, management of, 979 985 in upper extremity, management of, 969 979 Osteoporosis, 928 929, 934 936 causes of, 935 hip protectors in, 936, 937 treatment of, 935 936 P Patellar dislocation, 872 Patellar fracture, 872 Pectoralis rupture, shoulder pain in, 755 756 Pediatric patients. See Child(ren). Pellegrini-Stieda lesion, 865 Pelvic binder, 844, 845 Pelvis, anatomy of, and injury pattern of, 841 843 fractures of, 841, 843, 844 algorithm for, 849 epidemiology of, 843 844 injuries of, and hip injuries, management and treatment of, 841 859 emergency department management in, 845 856 focused abdominal sonography for trauma in, 846 847 prehospital care in, 844 Perilunate dislocations, 803, 804 Phalangeal fractures, 793 795 Pilon fractures, 892 893 Pisiform injuries, 800 801

1002 Posterior cruciate ligament, injuries of, 868 Puncture wounds, management of, special considerations for, 961 Q Quadriceps and patellar tendon, rupture of, 872 874 R Radial fracture, distal, in pediatric patients, 909, 910 911 Radial head, fractures of, 781 783 subluxation of, 913 914 Radiculopathy, 822 Radioulnar joint, distal, disruption of, 806 807 Radius, distal, fractures of, 805 806 Rotator cuff injuries, shoulder pain in, 755 Rotator cuff strength testing, 741, 742 S Salter-Harris fractures, 908 910 Scalp, wound management in, special considerations for, 959 Scaphoid, fracture of, 976 978 Scaphoid injuries, 797 798 Scapholunate dissociation, 803 Septic arthritis, shoulder pain in, 743 745 Shoulder, clavicle, and humerus, injuries to, emergent evaluation of, 739 763 impingement of, tests for, 741, 743 neurovascular assessment of, 741, 742 pain in, causes of, 743 756 differential diagnosis of, 740 evaluation of, 739 743 physical examination of, 739 740 posterior dislocation of, 969 971 radiography of, 741 743 Skin, anatomy of, 952 functions of, 952 healing of, and methods of wound management, 953 injury of, wound healing and, 952 955 Smith fracture, 805 806 Spinal cord compression, 824 826 treatment of, 825 826 Spinal cord injury, without radiographic abnormality, 729 Spinal shock, and neurogenic shock, 729 730 Spinal stenosis, lumbar, 827 828 Sternoclavicular dislocations, shoulder pain in, 753 754 T Talar fractures, 901, 902 Teardrop fracture, extension, of cervical spine, 727 728, 729 Tibia, fractures of, 885 887

1003 Tibial plateau fractures, 874 875 Trapezium injuries, 802 Trapezoid injuries, 802 Triplane fractures, 894, 895 Triquetral injuries, 800 U Ulna, fractures of, 805 806 W Wound, final appearance of, factors influencing, 953 954 infection of, prevention of, 954 Wound healing, skin injury and, 952 955 Wound management, anesthesia in, 955 957 antibiotics and tetanus prophylaxis in, 962 antiseptics and, 954 areas of, special considerations for, 959 962 closing techniques in, 958 959 essential concepts of, 951 967 exploration and debridement in, 957 958 history of, 951 methods of, healing of skin and, 953 Wrist, anatomy of, 789 790 injuries of, 797 804 and hand injuries, emergent evaluation and treatment of, 789 809