Figure 1

Figure 2

"I WAS BITTEN BY A DOG"

Hardick Sony, MD and Chat V. Dang, MD

CC: ?I was bitten by a dog.?

HPI: The patient is a 61-year-female complaining of right leg pain after being bitten by the dog of a neighbor. While attempting to get away from the dog she fell on her left side. The patient also complains of mild left groin pain, and reports mild pain in her left hip with ambulation. She denies any other complaints

PE: There is a 1cm by 2cm superficial laceration avulsion to the mid anterolateral area over the right tibia. The patient is able to ambulate with an antalgic gait with decreased weight bearing on left. There is mild tenderness to palpation over the left lateral hip. Sensory and motor examinations are grossly intact. Passive range of motion at hip joint is normal. There are no discolorations or bruises. Pulses are 2+ and sensation is intact bilaterally. Compartments are soft.

IMAGING: X-Ray of the right tibia and fibula (figure1) as well as the pelvis (figure2) were obtained.

QUESTION: What radiological finding(s) is seen on the radiographs?

Please see next page for the answer

ANSWER