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« Rotator cuff anatomy
A bone of Week 2 »

A challenging X-ray ! (or an unusual leg. Ed)

February 11, 2010 by John Dent

   Have a look at this X-ray of the lower leg and  compare it with the other X-ray of a  tibia and fibula earlier in DundeeBones.

What is different about this one?

Can you find the fractures? 

Where abouts are they in each bone?

Can you  describe the fracture pattern?

What else is wrong / unusual about the leg shown on this X-ray?  What do you think this leg would  look like if you were seeing it in A&E?

(Remind DundeeBones to post the answer next week!)

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Posted in Fracture of the Week | Tagged x-ray | 2 Comments

2 Responses

  1. on February 25, 2010 at 12:41 pm Susan

    is this a lateral view of the leg?
    there is an oblique/spiral fracture in the proximal third of the fibula and I think there is a fracture in the distal third of the tibia perhaps transverse or oblique?
    Is the knee dislocated in this xray….the foot looks twisted out to the side and looks like plantarflexion?


    • on February 25, 2010 at 1:49 pm John Dent

      Well done ! This was a trick X-ray. As you suggest the view shows an AP view of the knee but a lateral view of the ankle! The fracture as you say is spiral of the tibia and fibula suggesting a rotational mechanism of injury. In fact the leg is still lieing in its rotated position so that on this X-ray the two joints are rotated to right angles to each other. Let’s hope peripheral circulation could cope with such a twist!



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