Ultrasound diagnosis of fractures in mass casualty incidents

Figure 3 Point-of-care ultrasound of a 40-year-old front seat male passenger who was involved in a front impact collision with a tree. When presenting to the hospital, he had severe pain, swelling and limitation of the movement of the right shoulder (A). B mode point-of-care ultrasound of the right shoulder using a linear probe having a frequency of 10-12 MHz (B) shows that the humeral head (dashed arrow) and the greater humeral tuberosity (white arrow). There is a discontinuity of the bony line (yellow arrow head) indicating a fracture in the greater tuberosity. A small piece of fractured bone is also seen near the humeral head (white arrow head). Three-dimensional bony reconstruction of the right shoulder confirms the ultrasound findings (C). Ultrasound study was performed by Professor Fikri Abu-Zidan, Department of Surgery, Al-Ain Hospital, Al-Ain, UAE.