PAINE #PANCE Pearl – Orthopaedics


31yo male was involved in a pedestrian vs car accident and presents as a trauma transfer to your facility 3 hours after the injury. On initial presentation, the patient is in extreme distress and pain. Physical examination shows decreased dorsalis pedis and posterior tibial pulses, significant swelling, decreased sensation in the lower leg, and increased pain with passive dorsiflexion. Radiograph reveals a minimally displaced proximal tibia and fibula fracture.

  1. What is your main concern at this point?
  2. How do you test for it?
  3. What do you do about it?

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s