Tibial fracture

Case contributed by Dr Maulik S Patel

Presentation

H/o long distance walking - 1 mth back. Followed by difficulty in walking. C/o unable to walk for last 1 day.

Patient Data

Age: About 55 - 60 yrs
Gender: Female
X-ray

To rule out femur neck fracture / hip bone fracture - radiograph of PBH was requested.

There is osteopenia with left sided pelvic tilt. No obvious fracture was noted.

Ultrasound

PBH radiograph was normal. Deep venous thrombus was suspected as patient was much less mobile for last 1 mth and leg odema was present.

No deep venous thrombosis was noted in common femoral / superficial femoral / popliteal / paired anterior tibial / paired posterior tibial veins.

X-ray

Fracture of tibia in proximal shaft.

Case Discussion

This is a case of leg pain, odema without significant recent trauma.

Investigation uploaded here are in actual sequence.

Once the scan for DVT was negative, Ultrasound probe was placed at site of pain pointed by patient.

And there was fracture of tibia. Radiograph was done later.

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Case information

rID: 30101
Case created: 19th Jul 2014
Last edited: 29th Jan 2017
Inclusion in quiz mode: Included

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