December 2009 Radiology Quiz

 This patient is a 40 year old male who presents to the emergency department with the chief complaint of right knee pain. The patient states he was playing basketball when his right knee collide with another player. The following radiograph was taken.

Questions:

1. Describe what you see?

• Soft tissue swelling, with the patella displaced inferiorly.

  

Diagnosis: Suprapatellar or Quadriceps Tendon Rupture

2. What would you find on physical exam?

• Inability to extend the knee
• Palpable Gap between the patella and the Quadriceps muscle
• Soft tissue swelling +/- an effusion
• Loss of the tendon reflexes of the knee

3.How would you manage this patient?

• Knee immobilzer
• Pain management
• Orthopedics consult and surgical repair .

Trivia:  What is the Biggest Selling Christmas Song of all time?

According to the Guinness Book of World Records, "White Christmas" has sold more than 100 million copies around the world. The song was written by Irving Berlin and recorded by Bing Crosby for the 1942 musical Holiday Inn.

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