Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
9390164 | Journal of Medical Ultrasound | 2005 | 4 Pages |
Abstract
We present the case of a 45-year-old man who presented to the emergency department (ED) for ankle trauma sustained during a football match. Physical examination and X-ray of his ankle were negative for bone fractures. He was discharged from the ED, but returned 3 weeks later with a painful and swelling leg. Compressive ultrasonography of his right lower limb was negative for venous thrombosis, but ultrasound evaluation of the leg clearly showed a fibula fracture. Although the diagnosis of fractures usually relies on X-ray, the literature contains many reports of goal-directed ultrasound diagnosis of long bone fracture in military settings and remote locations. The usefulness of a noninva-sive examination like bedside ultrasonography and goal-directed evaluation of patients in the ED are discussed, with reference to the literature.
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Authors
Americo Testa, Stefano Ursella, Giulia Pignataro, Grazia Portale, Marinella Mazzone, Nicolò Gentiloni Silveri,