Patellar fracture

Case contributed by Dr Andrew Mark

Presentation

Patient brought to ED by EMS after alleged assault. Obtunded, 1 mm minimally reactive pupils.

Patient Data

Age: 40
Gender: Male
X-ray

Comminuted transverse fracture of left patella with mild posterior subluxation of the tibia relative to the femur. Soft tissue swelling.

Case Discussion

Patient was "beaten up" after stealing a methadone dose and presented obtunded secondary to opiate intoxication with left knee swelling found to be patellar fracture. Patient was seen by orthopedics and admitted to the hospital for further management.

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Case information

rID: 48235
Published: 27th Sep 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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