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We describe two cases illustrating the use of bedside ultrasonography in the trauma room, to confirm femoral fracture, and to guide accurate placement of femoral nerve block.
A 13 year old boy was brought to the emergency department (ED) by ambulance. He was undergoing leg lengthening surgery and had an external fixation device attached to his left femur. He had fallen onto his left knee at school, with subsequent pain and inability to bear weight. There was a tender swelling over the lateral supracondylar area of his left femur, with severe pain on minimal movement. Bedside ultrasonography in the ED was used to confirm the …