IMAGES IN EMERGENCY MEDICINE
Stuck in the mud: an unusual football injury
1 A&E Department, Royal Victoria Hospital, Belfast, UK
2 Department of Orthopaedics, Royal Victoria Hospital, Belfast, UK
Correspondence to:
Dr A Byrne, A&E Department, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6EA, UK; aoifebyrne@yahoo.com
Accepted 28 February 2008
| The first 150 words of the full text of this article appear below. |
A 29-year-old footballer attended the emergency department following a twisting injury to the left leg. He stated that, while playing football, he had attempted to change direction and his studs remained stuck in the mud. He felt a sudden crack and severe pain in the left hip/buttock region. His past medical history included a right femoral and tibial fracture. He had no personal or family history of osteogenesis imperfecta or fragile bones. On examination he was unable to weight bear. He was tender in the left buttock on palpation and very tender on passive rotation of the left hip. There was no obvious deformity or shortening. The patient was given intravenous analgesia and an anteroposterior radiograph of the pelvis was obtained (fig 1).
Figure 1 Anteroposterior radiograph of the pelvis.
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Judet views and a CT scan confirmed a fracture of the left iliac bone extending into the acetabulum. The defect
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