Show simple item record

dc.contributor.authorAcuna, Josie
dc.contributor.authorSitu-LaCasse, Elaine
dc.contributor.authorJamplis, Robert P
dc.contributor.authorAmini, Richard
dc.contributor.authorAdhikari, Srikar
dc.date.accessioned2019-05-21T22:59:15Z
dc.date.available2019-05-21T22:59:15Z
dc.date.issued2018-05-23
dc.identifier.citationAcuna J, Situ-Lacasse E, Jamplis R P, et al. (May 23, 2018) Point-of-care Ultrasound Evaluation of Tibial Avulsion Fractures. Cureus 10(5): e2677. doi:10.7759/cureus.2677en_US
dc.identifier.issn2168-8184
dc.identifier.pmid30050732
dc.identifier.doi10.7759/cureus.2677
dc.identifier.urihttp://hdl.handle.net/10150/632354
dc.description.abstractIt can be difficult to diagnose a tibial avulsion fracture based on physical examination alone as findings are often non-specific. Emergency physicians will usually opt for radiography as their initial imaging modality, which has several disadvantages in evaluating tibial avulsion fractures. The objective of this case series is to describe the utility of point-of-care ultrasound (POCUS) in the evaluation of tibial avulsion injuries. A 15-year-old male presented to the emergency department (ED) after sustaining a left knee injury while playing soccer. The clinician had a high suspicion for patellar tendon involvement. A POCUS exam revealed a cortical irregularity and interruption of the left proximal tibia. The patellar tendon was found attached to an avulsed bony portion. Findings were consistent with a tibial tuberosity avulsion fracture. The patient was admitted and scheduled for surgery the following day. Our second case is a 31-year-old male who presented to the ED with a complaint of left knee pain after a 10-foot fall from a ladder. A POCUS exam revealed a bony avulsion over the anterior tibia that was not noted on the initial radiography read by radiology. His patellar tendon showed no evidence of rupture. This led to prompt consultation with orthopedics who evaluated the patient in the ED. Radiographs were reviewed again and it appeared that there was a missed anterior tibial spine fracture. The patient was placed in a knee immobilizer and discharged with instructions to follow up with orthopedics for outpatient surgery. The use of POCUS in the evaluation of these patients led to prompt diagnosis of tibial avulsion injuries, which led to early consultation and appropriate patient management. POCUS allows for expedited diagnosis and appropriate management of patients with tibial avulsion injuries.en_US
dc.language.isoenen_US
dc.publisherCUREUS INCen_US
dc.relation.urlhttps://www.cureus.com/articles/12167-point-of-care-ultrasound-evaluation-of-tibial-avulsion-fracturesen_US
dc.rights© Copyright 2018 Acuna et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0.en_US
dc.subjectemergency medicineen_US
dc.subjectorthopedic traumaen_US
dc.subjectpoint-of-care ultrasounden_US
dc.subjectultrasounden_US
dc.titlePoint-of-care Ultrasound Evaluation of Tibial Avulsion Fracturesen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Emergency Meden_US
dc.contributor.departmentUniv Arizona, Dept Emergency Meden_US
dc.contributor.departmentUniv Arizona, Coll Meden_US
dc.identifier.journalCUREUSen_US
dc.description.noteOpen access journalen_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal published versionen_US
dc.source.journaltitleCureus
refterms.dateFOA2019-05-21T22:59:15Z


Files in this item

Thumbnail
Name:
1532539667-20180725-15244-vg9l ...
Size:
1009.Kb
Format:
PDF
Description:
Final Published version

This item appears in the following Collection(s)

Show simple item record