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Foot Pain Following a Car Crash

The radiograph demonstrates an acute fracture of the second, third, and fourth distal metatarsals. The third and fourth are mildly impacted.

In addition, there is a deformity noted within the medial cuneiform, strongly suggestive of a fracture. This was later confirmed by CT. Orthopedic consultation was obtained.

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Nandan R. Hichkad, MPAS, PA-C

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Clinician Reviews - 23(7)
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37
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radiology, car crash, foot, foot pain, acute fracture, CT, orthopedics
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Author and Disclosure Information

Nandan R. Hichkad, MPAS, PA-C

Author and Disclosure Information

Nandan R. Hichkad, MPAS, PA-C

The radiograph demonstrates an acute fracture of the second, third, and fourth distal metatarsals. The third and fourth are mildly impacted.

In addition, there is a deformity noted within the medial cuneiform, strongly suggestive of a fracture. This was later confirmed by CT. Orthopedic consultation was obtained.

The radiograph demonstrates an acute fracture of the second, third, and fourth distal metatarsals. The third and fourth are mildly impacted.

In addition, there is a deformity noted within the medial cuneiform, strongly suggestive of a fracture. This was later confirmed by CT. Orthopedic consultation was obtained.

Issue
Clinician Reviews - 23(7)
Issue
Clinician Reviews - 23(7)
Page Number
37
Page Number
37
Publications
Publications
Topics
Article Type
Display Headline
Foot Pain Following a Car Crash
Display Headline
Foot Pain Following a Car Crash
Legacy Keywords
radiology, car crash, foot, foot pain, acute fracture, CT, orthopedics
Legacy Keywords
radiology, car crash, foot, foot pain, acute fracture, CT, orthopedics
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Questionnaire Body

Following a motor vehicle collision, a 60-year-old woman is brought in by emergency medical transport. She was a restrained driver in a vehicle that went out of control, hit a tree, and ended up in a ditch. There was a prolonged extrication time (> 30 minutes) due to extensive damage to the front of the vehicle. On arrival, the patient is awake and alert, complaining primarily of pain in her left hip and right foot. Her medical history is unremarkable. She has an initial Glasgow Coma Scale score of 15. Her vital signs are: blood pressure, 154/100 mm Hg; pulse, 108 beats/min; respiratory rate, 16 breaths/min; and O2 saturation, 100% on room air. Primary survey is otherwise unremarkable. A series of radiographs are ordered; that of the right foot is shown. What is your impression?
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