Team Approach: Treatment of Traumatic Dislocations of the Knee.

»: Traumatic knee dislocations are complex injuries that can be associated with compromise of the neurovascular structures about the knee.

»: Various classification systems for knee dislocations exist in the literature but should be used with caution as a prognostic tool because many knee dislocations fit into more than 1 category.

»: Special populations of knee dislocations, such as obese patients and high-velocity mechanism injuries, require additional caution during the initial evaluation for possible vascular injuries.

Can a transient exertion-related carotid (TERC) murmur heard during a symptom-limited exercise test be used as a means for managing sports concussion?

We hypothesize that a transient exertion-related carotid (TERC) murmur flow murmur similar in nature to a "bruit" heard best at the carotid artery during exercise in healthy individuals can be used as a means for assessing post-concussion injury exertion tolerance. Typically there are no arterial sounds heard at the carotid artery in healthy individuals. Bruit, heard at rest, is an indicator of cardiovascular disease.

Anesthesia for the Injured Hand.

In brief When an active patient sustains a hand or finger injury, a digital nerve block is often the appropriate anesthetic technique. A thorough knowledge of the area's anatomy, the materials needed, the proper technique, and the potential complications can help the primary care physician perform the procedure smoothly.

Head Injuries in Soccer.

In brief Two soccer goalies, a 20-year-old woman and a 28-year-old man, sustained head injuries as they fielded shots on goal. One was kicked, the other kneed by another player. The female goalie suffered a mild concussion.