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Review Question - QID 789

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QID 789 (Type "789" in App Search)
A 30-year-old driver is involved in a motor vehicle collision and sustains the injury shown in Figure A. What is the most likely concomitant injury?
  • A

Right knee meniscus tear

61%

2222/3657

Left knee ACL tear

3%

124/3657

Subdural hematoma

16%

571/3657

Right ankle fracture-dislocation

13%

462/3657

Lumbar burst fracture

7%

269/3657

  • A

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Traumatic hip dislocation results from the dissipation of a large amount of energy about the hip joint. Clinically, these forces often are first transmitted through the knee en route to the hip. It is therefore logical to look for coexistent ipsilateral knee injury in patients with a traumatic hip dislocation.

Schmidt, et al, prospectively evaluated the ipsilateral knee of all patients who had a traumatic hip dislocation and found that 93% had abnormalities on MRI of the knee, with effusion (37%), bone bruise (33%), and meniscal tear (30%) being the most common findings. They suggest liberal use of MRI to the ipsilateral knee if injury is suspected.

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