Lower Extremities

  • Tina A. Maxian
  • Michael J. Bosse


A 28-year-old motorcyclist, who lost control of his bike, is brought to the trauma bay by the emergency medical technicians for evaluation and definitive management of multiple injuries. The patient has been hemodynamically stable throughout his transport and upon arrival. He is alert, oriented, and complaining only of left lower extremity pain. Advanced Trauma Life Support protocol was initiated. In addition to scattered torso abrasions and superficial lacerations of bilateral lower extremities, the patient was found to have an unstable left knee. The involved extremity has no palpable dorsalis pedis and posterior tibial pulses. Plain radiography of the neck and chest demonstrated no obvious injuries. Focused abdominal sonography revealed no fluid accumulation. After life-threatening injuries were ruled out, the knee dislocation was reduced with no return of pulses. What is the most appropriate management plan at this time?


Vascular Injury Compartment Syndrome Septic Arthritis Femoral Neck Fracture Necrotizing Fasciitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Tina A. Maxian
    • 1
  • Michael J. Bosse
    • 2
  1. 1.Department of Orthopaedic SurgeryState University of New York Upstate Medical UniversitySyracuseUSA
  2. 2.Department of Orthopaedic SurgeryCarolinas Medical CenterCharlotteUSA

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