RE: case 3

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RE: case 3 - July 25, 2007 9:16:35 AM

FLAOrthoPT

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From: West Palm Beach
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I agree with above posts, but i also can't see a rib fracture.

(in reply to jma)

Post #: 21

RE: case 3 - July 25, 2007 1:20:29 PM

Dr.Wagner

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From: Indianapolis
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Ding ding ding!!

THere are two injuries...1. Posterior dislocation 2. Pneumothorax (right side)

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Dr. Wagner DO
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Post #: 22

RE: case 3 - July 25, 2007 9:39:10 PM

jma

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What was done for the pneumothorax and what caused it?

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Post #: 23

RE: case 3 - July 26, 2007 2:16:30 PM

Dr.Wagner

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Usually the cause of traumatic pneumothorax is rib fractures, but often time it is due to rupture of blebs.
Treatment of pneumothorax is a chest tube (tube thoracostomy) in the ED.

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Dr. Wagner DO
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Post #: 24

RE: case 3 - July 26, 2007 8:30:36 PM

jma

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Thanks for the information. Please continue posting the cases.

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Post #: 25

RE: case 3 - July 27, 2007 4:35:32 AM

fapt

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From: Taiwan, R.O.C.
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Good case...
How can you diagnosis post. dislocation? I am not good at X-ray....Not teach radiodiagnosis in taiwan...
Thanks

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Post #: 26

RE: case 3 - July 27, 2007 8:34:57 AM

Shill

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From: Madison WI USA
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Doc Wagner,
OK, I will bite. What is or are blebs? And when the chest tube goes in, is there a wooshing sound?

(in reply to fapt)

Post #: 27

RE: case 3 - July 27, 2007 10:12:22 AM

FLAOrthoPT

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From: West Palm Beach
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I think it is when air gets trapped in the lining of the pleura and the change in pressure from them or from them being traumatically popped can collapse a lung, but not entirely sure

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Post #: 28

RE: case 3 - July 27, 2007 11:08:18 AM

Dr.Wagner

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From: Indianapolis
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When a chest tube is placed, generally there is a "woosh" sound...no other way to described it. Sometimes blood will pour out, but always air.

Blebs are usually a result of Emphysema or they may be genetic...or a simple anatomical varient if found in a young person.

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< Message edited by Dr.Wagner -- July 27, 2007 11:13:13 AM >

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Dr. Wagner DO
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Post #: 29

RE: case 3 - July 27, 2007 11:09:39 AM

Dr.Wagner

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Joined: January 24, 2003
From: Indianapolis
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Oh yeah, posterior dislocation is made by the scapular Y view or axillary view if performed.

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Dr. Wagner DO
Moderator of Medical Complexity Forum

(in reply to Dr.Wagner)

Post #: 30