SAQ 1390 – Lower-leg injury with X-ray and increasing pain

Marked out of 14.00

You are called to assess a patient awaiting orthopaedic admission for a complex lower-leg fracture requiring operative fixation. The registrar has placed the patient in a laterally split above-knee cast, and nursing staff are concerned about increasing pain and distress. The initial X-ray before immobilisation is shown.

Lower-leg X-ray
Lower-leg X-ray.

List six radiological abnormalities on the image.

(Marked out of 6.0)


/ 6

Apart from increasing pain, list four examination features that would suggest leg compartment syndrome.

(Marked out of 4.0)


/ 4

Your assessment is highly concerning for compartment syndrome, and the orthopaedic registrar cannot leave theatre for at least another hour. State four immediate management priorities.

(Marked out of 4.0)


/ 4

Total Score: 0 / 14

Percentage: 0%