Case Repository
Interactive Clinical Case Studies
Examine real-world trauma and orthopedic case files with toggleable diagnostics and resident discussions.
AP / Lateral X-RayUCMS ER Archive
Radiographic Impression:
Complete comminuted fracture middle 1/3 right tibia with associated fibular fracture.
Patient Demographics
- Age/Gender: 34-year-old Male
- Mechanism: Road Traffic Accident (RTA)
- Presentation: Right leg deformity, severe pain, unable to weight bear.
Clinical Management & Discussion
Initial Assessment: Evaluated in UCMS Emergency Department following ATLS protocol. Neurovascular examination revealed intact distal pulses (dorsalis pedis and posterior tibial) with no compartment syndrome signs.
Provisional Diagnosis: Closed comminuted fracture of the right tibial shaft (AO/OTA 42-A3).
Definitive Management: Patient underwent closed reduction and intramedullary (IM) interlocking nailing under spinal anesthesia.