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A Different Source of Elbow Pain

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The radiograph shows no obvious fracture or dislocation. However, there are two small, radiopaque densities noted within the soft tissue. These are most likely consistent with broken glass pieces.

When the laceration was irrigated and the wound probed, the glass bits were found and removed prior to wound closure.

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Nandan Hichkad, PA-C, MMSc

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Clinician Reviews - 23(8)
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broken glass, radiopaque density, car crash, broken windshield, elbow, radiology, x-ray, radiograph
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Author and Disclosure Information

Nandan Hichkad, PA-C, MMSc

Author and Disclosure Information

Nandan Hichkad, PA-C, MMSc

ANSWER
The radiograph shows no obvious fracture or dislocation. However, there are two small, radiopaque densities noted within the soft tissue. These are most likely consistent with broken glass pieces.

When the laceration was irrigated and the wound probed, the glass bits were found and removed prior to wound closure.

ANSWER
The radiograph shows no obvious fracture or dislocation. However, there are two small, radiopaque densities noted within the soft tissue. These are most likely consistent with broken glass pieces.

When the laceration was irrigated and the wound probed, the glass bits were found and removed prior to wound closure.

Issue
Clinician Reviews - 23(8)
Issue
Clinician Reviews - 23(8)
Page Number
10
Page Number
10
Publications
Publications
Topics
Article Type
Display Headline
A Different Source of Elbow Pain
Display Headline
A Different Source of Elbow Pain
Legacy Keywords
broken glass, radiopaque density, car crash, broken windshield, elbow, radiology, x-ray, radiograph
Legacy Keywords
broken glass, radiopaque density, car crash, broken windshield, elbow, radiology, x-ray, radiograph
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Questionnaire Body

A 30-year-old man is brought to your facility after being in a motor vehicle collision. He was an unrestrained driver who lost control of his vehicle, went off the road, and hit a tree. Emergency personnel on the scene indicated there was moderate damage to his vehicle, including a broken windshield, and no air bag deployment. The patient is complaining of right shoulder, chest, hip, and left elbow pain. His medical history is unremarkable. His vital signs are normal. On physical examination, he has superficial lacerations on his forehead, face, and both forearms. Bleeding from all wounds is controlled. Palpation reveals some bruising of the right shoulder, chest, right hip, and left elbow; no obvious deformity or neurovascular compromise is noted. Multiple radiographs are ordered; the left elbow is shown. What is your impression?
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