A deer miss

摘要

A patient arrived to the emergency department with a right knee injury following a collision with a deer while riding a motorcycle. He was assessed according to ATLS principles and had an isolated knee injury which was initially managed as an openfracture, with co-amoxiclav and a tetanus booster. Radiographs of the knee revealed an unexplained foreign body in the knee, whichwas removed in theatre and identified as the tip of an antler. The case was discussed with microbiology, and given the high risk ofseptic arthritis due to contamination with anaerobic organisms, he was switched to ceftriaxone and metronidazole. He recovered welland regained good function. This case highlights the importance of correlating clinicalfindings with radiographic evidence in theassessment of injuries, and the value of involving the MDT in these atypical cases.