Traumatic limb and joint injuries-Lower limb – Ankle

FRCEM EXAM QuestionsCategory: September 2018Traumatic limb and joint injuries-Lower limb – Ankle
FRCEM Intermediate Staff asked 2 years ago
35 y/o male patient presented to ER after trauma with ankle fracture dislocation. Both lower end fibula and medial malleolus are fracture, AP and Lateral view done and shown below, Your Senior will do ankle reduction in ED.

A.Give one examination will you do before the procedure? (I mark)
B.After reduction, cast is applied, and X-ray was done, and shown below, what is shown in X-ray? (I mark)
C.What is your next immediate step? (I mark)

1 Answers
FRCEM Intermediate Staff answered 2 years ago
A.
Neurovascular Status exam of the affected limb.

B.
Subtalar joint dislocation, (Irreducible reduction)

C.
Immediate referral to the Orthopedics team for consideration of CT and ORIF.