Case: 13 y/o obese AA male presents with left leg pain after stepping in a hole during football training with his brothers. States he felt a pop during this incident and has since been unable to move his leg secondary to pain. Physical exam notable for normal vital signs, edema and tenderness to palpation proximal to left knee. Sensation intact to light touch throughout, 2+ pulses, 5/5 strength of ankle/great toe dorsi/plantar flexion.
Diagnosis: Plain films including 2 view femur, 3 view knee, and 2 view tibia/fibula
MRI (now gold standard) or ultrasound when plain films not diagnostic and suspicion still high
Your comment will be posted after it is approved.
Leave a Reply.
CMC ER Residents
Disclaimer: All images and x-rays included on this blog are the sole property of CMC EM Residency and cannot be used or reproduced without written permission. Patient identifiers have been redacted/changed or patient consent has been obtained. Information contained in this blog is the opinion of the author and application of material contained in this blog is at the discretion of the practitioner to verify for accuracy.