Authors: Christopher Bryden, Peter Robinson / Editor: Jason M Kendall / Reviewer: Tadgh Moriarty, Ines Corcuera / Codes: ELC5, ELP2, ELP3, ELP4, ELP5, SLO2, SLO4, TC2, TP6 / Published: 29/12/2023
A 53-year-old lady with MS presents with left hip and pelvic pain after a fall. She has difficulty in weight bearing since the fall a few days prior.
Clinical examination post analgesia proves largely unremarkable apart from severe pain in the left hip when an attempt is made to mobilise. A pelvic x-ray is ordered. Blood tests show no signs of inflammation or infection. Her urine hcg is negative.
The pelvic x-ray is shown:
Module Content
Pelvic Injuries
This session is about the assessment and complex management of patients with pelvic injury in the emergency department.
Fractured Neck of Femur
The risk factors for a fractured NOF can simplistically be divided into risk factors for falls and risk factors for osteoporosis.
Foot Injuries
Foot injuries are common and because they affect mobility, they can have significant effects on a patient's life and so are important.
6 Comments
interesting case
Good case
Useful reminder to do further imaging on patients who are unable to mobilise with analgesia despite no clear neck of femur fracture on x-ray – an occult fracture may still exist
INTERESTING CASE , LIKLEY TO MEET IN CLINICAL PRACTICE AS WELL
Interesting, spot on!
Rare Case