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Published byRobert Shepherd Modified over 9 years ago
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Knee Dx Yazdi HR MD IUMS
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A 28 Y/O male Knee pain and sever deformity due to motor to car accident
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What is your diagnosis? Typing? What is your first planning in emergency room? Do you take X-Ray? When and where do you do closed reduction? What do you do before and after CR?
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What do you do if CR was not successful ? How do you evaluate the vascular status if: A- Per and post CR have NL pulses B-Before CR you have abnormal and after CR normal pulses C-Before and after CR you face to abnormal Pulses
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How do you stabilize the knee after CR(splint? cast? EF?) What is your next imaging study?
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ACL and PCL and Lateral complex tear, MCL sprain How do you manage the ligament injuries?
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Case 2 54 Y/O M Motor to car accident Closed tibia and open fibula fx Knee pain and effusion P nerve injury No vascular problem DM +
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What is your diagnosis? How do you manage the tibia fx? IMN, Plate,Cast When do you fix the Fx? What is your planning for P nerve injury?
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First surgery
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Second surgery
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The patient was referred to me 2 week later
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Diagnosis was MCL,ACL and PCL grade 3 injury Patellar Dx Mild laxity of FCL How do you manage the knee injury?
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