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e-CASES: Polytrauma due to a fall from a height of 5 m

29-year old blind patient, victim of a fall from a height of 5 m over a stand barrier in a stadium during a soccer match.The initial clinical examination revealed significant lumbar pain. The motricity examination was 5/5 on all the muscle groups. Normal sensitivity and all osteotendinous reflexes present. Perineal sensitivity and anal tonicity normal. Urinary catheterization performed for comfort in the emergency room. Sensitivity of left iliac fossa, with no abdominal guarding.


Here is the body scan: