a tonne of bricks…

… well it wasn’t really a tonne; more like a dozen or so individual bricks falling from a height of 3-4 metres that peppered and glanced a patient I saw 48 hours ago.

Whilst he presented as a ‘trauma’ and was cleared of any significant injury, his greatest concern was his left ankle which was swollen and tender diffusely. He felt that as he was attempting to dodge the falling bricks, his ankle buckled and went under him (demonstrating an extreme plantar flexion mechanism with his good ankle).

These are two of his original xrays.

   

I thought this case gave me the perfect excuse to share one of my favourite orthopaedic papers that I discovered earlier in the year.

by Yu JS, Cody ME in Emerg Radiol. 2009 Jul;16(4):309-18.