Hey there, yeah i use ultrasound quite often to "diagnose" fractures, but usually for things like calcaneal fractures and tib/fib, dont know if i want to bring that up, because ill likely get asked to back that up from the literature!

I did a pretty thorough "observation", and there was no issue there, im thinking the seperation/subluxation happened initially, and has pretty much settled. What i mean here is no obvious defomity static, or dynamically, and nothing apparent on my admitedly rushed crap assesment under exam conditions......

Manual therapy to the Tx is definately in my treatment plan

Dont want to do much splinting or taping of the chest unless its for activity such as sport, all the atelectasis stuff and that.

The course im doing is postgrad musculoskeletal/manual therapy in New Zealand as a post grad diploma. This paper is the musculoskeletal aspect of it. Its a REALLY good paper, run by really good lecturers, we just didnt cover this type of patient. This is no worry for the physio;s in the course with ten/fifteen years experience whos seen X number of these, but with my 18 months part time experience, the only things that could throw me was this and maybe some sort of facial injury. Plus for 15/16 of those months, ive been working on my own, with only my own opinion!!!! Wheres that violin music coming from???............

Would have been happy to go through a foot, ankle, lower leg, knee, thigh, groin/hip, buttock, Wikipedia reference-linkSIJ, Lx, Tx, Cx, shoulder, elbow, forearm, wrist or hand - the stuff we covered! - but it wasnt to be. They were stuggling for patients i think anyway.

A few years ago, they wouldnt have let me into the course, needed more experience, but now most Uni's are all about the money/bums on seats, but hey, what can you do other than just deal with it??