What is the most likely diagnosis?
- 31 year-old male, 3 days after motorcycle accident
Radiographs of left elbow, 3 days after "additional images"
- Neurofibromatosis
- Psoriasis
- Malignant melanoma
- Fracture blisters
- Multiple myeloma
Additional Images - Same patient, same elbow-3 days earlier
Additional Images
Same patient, same elbow-3 days earlier
Answer:
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4. Fracture Blisters
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More (Click Discussion Tab)
Fracture Blisters
General Considerations
- Fluid or blood-filled subepidermal vesicles which form over a fracture or severe twisting injury
- Most often in the tibia, ankle and elbow
- May be single or multiple
- May attain sizes in excess of 10cm
- Those at greater risk for formation of the blisters are high impact injuries, those with peripheral vascular disease, diabetes, lymphatic obstruction or a smoking history
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