Scenario
This 45 year old man presented following a fall from a ladder. He has suffered an injury to his right arm.
Question
a. Describe and interpret the X-ray. (30%) b. What are the potential complications of the injury? (70%)
Answer
FACEM VAQ Exam 2004.1 – Question 7
- Overall pass rate for this question was 66 / 69 (95.7%).
- An X-ray of an elbow dislocation is shown.
- Examiners expected an accurate description of the xray, which in the single view demonstrated a posterior dislocation of the elbow with a likely lateral component.
- In terms of potential complications it was mandatory that acute neurovascular compromise was mentioned but also it was expected that medium/long term complications such as ongoing instability/stiffness and socioeconomic effects would be mentioned.
- Failures were due to candidates not accurately describe
the xray (merely interpreting it) and an inadequate list of complications.
ACEM Fellowship Visual Aid Questions
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