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Chest Wall and Knee Pain Following Motor Vehicle Collision

ANSWER

The radiograph demonstrates lateral dislocation of the patella, with no evidence of an acute fracture of any surrounding bones. The patella was easily reduced in the emergency department, and the patient was placed in a knee immobilizer. Orthopedic consultation was obtained.

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Nandan R. Hichkad, MPAS, PA-C

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Clinician Reviews - 23(1)
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8
Legacy Keywords
radiology, radiograph, car accident, motor vehicle collision, knee, chest, pain, swelling, deformity of the joint, dislocation, patella, fracture
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Author and Disclosure Information

Nandan R. Hichkad, MPAS, PA-C

Author and Disclosure Information

Nandan R. Hichkad, MPAS, PA-C

ANSWER

The radiograph demonstrates lateral dislocation of the patella, with no evidence of an acute fracture of any surrounding bones. The patella was easily reduced in the emergency department, and the patient was placed in a knee immobilizer. Orthopedic consultation was obtained.

ANSWER

The radiograph demonstrates lateral dislocation of the patella, with no evidence of an acute fracture of any surrounding bones. The patella was easily reduced in the emergency department, and the patient was placed in a knee immobilizer. Orthopedic consultation was obtained.

Issue
Clinician Reviews - 23(1)
Issue
Clinician Reviews - 23(1)
Page Number
8
Page Number
8
Publications
Publications
Topics
Article Type
Display Headline
Chest Wall and Knee Pain Following Motor Vehicle Collision
Display Headline
Chest Wall and Knee Pain Following Motor Vehicle Collision
Legacy Keywords
radiology, radiograph, car accident, motor vehicle collision, knee, chest, pain, swelling, deformity of the joint, dislocation, patella, fracture
Legacy Keywords
radiology, radiograph, car accident, motor vehicle collision, knee, chest, pain, swelling, deformity of the joint, dislocation, patella, fracture
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Questionnaire Body

A 20-year-old man presents following a motor vehicle collision in which the car he was driving was broadsided by another vehicle. His air bag deployed, and the patient is now complaining of right-sided chest wall pain and right knee pain. His medical history is unremarkable. In a primary survey, the patient appears stable, with normal vital signs. Inspection of his right knee shows some deformity of the joint, with mild swelling and moderate tenderness. The patient is unable to perform flexion with his right knee. Good distal pulses are present, and sensation is intact. Radiograph of the right knee is obtained. What is your impression?
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