SAQ 1199 – Swollen knee after fall and prehospital reduction

Marked out of 10.00

A 32-year-old man is brought by ambulance after tripping at home and falling down four steps. He landed on his right knee, which swelled immediately, and he could not stand. The ambulance officer straightened the knee after giving analgesia.

In ED the right knee is swollen and painful despite 10 mg IV morphine. He weighs 129 kg.

After giving more analgesia, what four (4) potential injuries are you looking for and why?

(Marked out of 4.0)


/ 4

Under nitrous oxide, the knee gives way in all directions despite effusion. What diagnosis do you need to rule out?

(Marked out of 1.0)


/ 1

What investigations would you do and why?

(Marked out of 2.0)


/ 2

What is your management of his knee injury?

(Marked out of 3.0)


/ 3

Total Score: 0 / 10

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