In a session at ACEP24 titled Diagnostic Dilemma: No Fracture on X-Ray? Now What?, Korin Hudson, MD, explained that many orthopedic injuries that emergency physicians care for are not associated with fractures. When there is no fracture, a deeper knowledge of the anatomy and mechanism allows the astute clinician to make the diagnosis. Dr. Hudson discussed orthopedic “non-fractures” that are relevant to emergency physicians like ruptured quadriceps tendon, ruptured biceps tendon, sternoclavicular joint dislocation, and acromioclavicular injury. Including basic musculoskeletal ultrasound.
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ACEP Now: October 2025 (Digital)ACEP has posted an education course based on this session on Anytime, ACEP’s one-stop shop for emergency physician education. ACEP is making it available for free through October 31 (it’s member exclusive; log-in required).
So, tell us how you handle X-rays in the poll below: [poll id=”11″]
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