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Knee Injury

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History: A 44-year-old male was brought to the ED by ambulance for left knee pain after an injury during a wrestling competition.  He is unable to bend or to fully straighten his leg.

Exam: Vital signs were normal.  Physical exam was normal except for a locked knee with a deformity of the knee cap.  Distal pulses were intact.

Initial Concern(s): Fracture, dislocation

Testing: Knee x-rays

QUESTIONS:

  1. What does the case image image show?  
  2. What should you do next?  
  3. Where can I get a quick refresher on this topic?  

Scroll to bottom for case answer and E-meducation 

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ANSWERS:

  1. What does the case image image show?  A lateral patella dislocation
  2. What should you do next?  Attempt manual reduction or call an orthopedist
  3. Where can I get a quick refresher on this topic?  See highlighted area below

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E-meducation for medical topic of this case: Read the yellow highlighted area of the page-shot below from our #1 title, the Emergency Medicine 1-Minute Consult Pocketbook

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CASE CONCLUSION: We’ll just have to see

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