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November 2004 Radiology Quiz This patient is a 26 year old female who presents to the emergency department with the chief complaint of right knee pain. The following radiograph was taken. Questions: 1. Describe what you see? Multiple views of the right knee which shows a dislocation of the femoral tibial joint. Diagnosis: Anterior Knee Dislocation 2. How would you manage this patient? Reduce immediately by longitudinal traction after sedating the patient. The popliteal, dorsalis pedis and tibialis posterior pulses should be checked before and after reduction. The knee should be immobilized in a posterior splint I 15 degrees of flexion. An arteriogram should be performed in all cases of knee dislocation, even if pulses return after reduction. Immediate surgical intervention for Popliteal injuries, open or irreducible dislocations. 3. What complications can this patient be expected? Popliteal artery injury Popliteal vein injury Peroneal nerve injury Ligamentous injury Compartment syndrome Trivia: Which company insisted that their copyright symbol appear on Paul Simon's 'There Goes Rhymin' Simon' album? |