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[Music] okay so ive got alex tromster in the room and were talking about shatsuka six uh so weve got a nice case here uh talk me through this one this looks high energy yeah pretty high energy so this guy is in his 50s hes uh quite a big lad and he jumped out first floor window because his house was on fire oh wow so hes got no other injuries hes not burned or anything like this but its this is a you know fall from two three times your own height yeah um and so im looking at this and immediately you can see this is the ambulance view um or ed view hes got an inflatable splint on but its kind of a proximal tibial explosion yeah the joints not too bad and i can see you know hes probably got two fairly decent chunks of condyle yeah but the bits that are scaring me in this are theres massive metaphor diaphyseal comminution um and the tuberosity is probably a separate piece in this as well yeah good point okay so thats thats this guy here and thats something youve got to b