Scenario
A 34 year-old man is brought to your tertiary ED after a motorbike crash. Your junior registrar assesses the patient and reports to you a diagnosis of dislocated left patella. He asks you to review x-rays of the patient’s knee.
Question 1
Describe and interpret the x-rays
Question 2
You assess the patient and find this is his sole injury. Describe your examination given this injury
Question 3
Describe your immediate management
Question 4
Discuss investigations for vascular injury in this patient
Question 5
How would you address the registrar’s initial misdiagnosis?
Examiners Report
- Overall pass rate for this question was 62/65 (95.4%)
- In this SCE, candidates were expected to recognise and manage a less common but critical complication of orthopaedic injuries.
- Candidates who failed described an x-ray poorly, and/or did not demonstrate a consultant-level approach to assessing / managing the condition.
ACEM Fellowship Structured Clinical Examination (SCE)
About Mike Cadogan
