Hospital: HOSPITAL GENERAL UNIVERSITARIO REINA SOFIA.
Ciudad:
Nº:
Aut@r o Autores: E. Alias Carrascosa, M. Sanchez Robles, M.V. Redondo Carazo, M.D.C. Gutierrez Sanchez, M.F. Cegarra Navarro, P. Aleman Diaz.,
Presentación:
19-year-old male consults for falling while traveling on a motorcycle at low speed suffering direct contusion at knee level with great functional impotence. No chest pain, no dyspnea, no abdominal pain. Immobilization is performed on suspicion of fracture and sent for assessment. After physical examination, great functional limitation is evident with intense pain on exploration at right knee level. Great edema and effusion, blockage and limited flexo extension. Linear erosion at tibial anterior face level. Hematoma in the posterior region of the knee. Present and symmetrical sensitivity. Weak pulse. Preserved temperature.
Discusión:
If a fracture is suspected, RX is requested to show fracture of tibial spines with associated dislocation. If vascular injury is suspected, urgent CT angiography is requested, where a fracture of the tibial plateau with several intra- and extra-articular bone fragments is observed, a non-displaced fracture of the head of the fibula and sharpening of the popliteal artery with absence of distal flow, as well as a large hematoma of soft tissue in the posterior region of the knee.
Conclusión:
If a fracture is suspected, RX is requested to show fracture of tibial spines with associated dislocation. If vascular injury is suspected, urgent CT angiography is requested, where a fracture of the tibial plateau with several intra- and extra-articular bone fragments is observed, a non-displaced fracture of the head of the fibula and sharpening of the popliteal artery with absence of distal flow, as well as a large hematoma of soft tissue in the posterior region of the knee.
Bibliografía:
– Subasi M, Cakir O, Kesemenl C, Harslan H, Necmioglu H, Eren N Popliteal artery injuries associated with fractures and dislocations about the knee Acta Orthopédica Belgica, Vol. 67 – 3 – 2001