Ortho Hors D'oeuvres (Prompt):
Patient is a 5 year-old boy presenting after an unwitnessed fall while playing on the playground. Reportedly was on the monkey bars when he fell onto his right side. On examination, there is prominence of the distal clavicle of the right shoulder. There is significant tenderness from the clavicle to the acromion. Exam, including distal neurovascular status, is otherwise intact. X-rays show: Questions: 1) What is the injury? What is the most common cause of this type of injury
Ortho Hors D'oeuvres (Answer):
To review, this is a 34 year-old man with left knee pain after fall onto bilateral knees. Questions and Answers: 1) What is the injury? This is a nondisplaced transverse patellar fracture, the most common kind, usually caused by direct trauma. Patellar fractures can be displaced or nondisplaced (like this one), comminuted, or vertical. They can also be avulsion fractures caused by axial strain from the quadriceps tendon, pulling off the superior portion of the patella. 2) Wha
Ortho Hors D'oeuvres (Prompt):
Pt is a 34 year-old man presenting with left knee pain. He was cycling when a car stopped abruptly in front of him, causing him to fly over the handlebars, landing on his bilateral knees. X-rays show: Questions and Answers: 1) What is the injury? 2) What are possible associated physical exam findings? 3) What are the next steps in management of this injury? #Orthopedicslowerextremity
