A 28-year-old parachutist lands badly and sustains a calcaneal fracture on the left side. On secondary survey, what other injuries should be specifica...

Question

A 28-year-old parachutist lands badly and sustains a calcaneal fracture on the left side. On secondary survey, what other injuries should be specifically assessed for, given the axial loading mechanism?

Accepted Answer

Contralateral calcaneal fracture (10% bilateral), thoracolumbar spine fractures (especially burst fractures), and tibial plateau fractures

Answer

Cervical spine fracture and skull fracture

Answer

Pelvic ring disruption

Answer

Rib fractures and pneumothorax

Answer

Anterior cruciate ligament rupture bilaterally

uk-dipimc MCQ (SBA): Axial Loading Injury Pattern

A 28-year-old parachutist lands badly and sustains a calcaneal fracture on the left side. On secondary survey, what other injuries should be specifically assessed for, given the axial loading mechanism?