Distal End-Radius Fractures: A Case Study

Studies and surveys have shown that upper-extremity injuries are a common result of pitching through youth, high school, and collegiate baseball leagues. There have been surveys taken to show the relation of elbow and shoulder injuries and pitching. Statistics taken describe (1) the proportion of pitchers with a history of pitching related upper-extremity injury (2) proportion of pitchers with w history of pitching related elbow and shoulder injury that was treated through surgery (3)types of upper-extremity injuries sustained by pitchers and (4) types of upper extremity injuries sustained by a certain age category around the same time of injury.

This is where the skin does not break at the site of the fracture, and is the most common type of fracture

In elderly patients and high risk patients, physicians may consider a more conservative treatment option using splints/casts rather than surgery

Surgery is generally indicated for patients who have displaced or unstable fractures and patients who will not tolerate cast immobilization. There is currently an increasing trend for immediate surgical fixation for both displaced and undisplaced fractures, mainly due to the short term benefits,

There may also be associated bony lesions: avulsion fractures of the ACLu or PCL, frank utibial plateau or distal femur condylar fractures, or ipsi-lateral tibial or femoral shaft ufracture. ( 9 )

Nearly 10 % of falls are followed by serious injuries including fractures, head injury and injuries to the soft tissues. About 2% of falls result in hip fracture, which is among the leading cause of long-term disability and admission to nursing homes. Interestingly more than 90% of hip fractures, which are one of the most expensive surgical diseases to manage, are caused by

Compensatory Approach: Prevent further deformation of the ulnar drift with swan neck deformities to maintain client’s present ROM in B (UE).

The fracture seen in the images is called a comminuted fracture and is seen on the proximal end of the humerus. A comminuted fracture Is identified by the bone being spit into multiple fragments. As seen in the images provided the humeral head is seen with 2 fragments coming off of the medial and lateral aspects. Due to the multiple fragments as well as the patients MOI I deemed this fracture comminuted. The etiology for a comminuted fracture is described as an extreme pressure being exerted on a bone1. This matches the MOI of the patient who claimed that she fell onto her shoulder after slipping on the ice. The extreme pressure would be her entire body weight being exerted onto her humeral head during the fall and with her decreased bone density

These injuries can greatly decrease your mobility to almost none. Broken and fractured bones can put you in a cast for several months. After being in the cast for several months you might develop atrophy and you will have to strengthen those muscles to get back to normal.

Osteopathic medicine was founded in the late 1800s in Kirksville, Missouri, by a medical doctor who recognized that the medical practices of the day often caused more harm than good. He focused on developing a system of medical care that would promote the body’s innate ability to heal itself and called this system of medicine osteopathy, now known as osteopathic medicine. This leads us back to business, now it seems to me that you’re suffering from swelling and bruising around your phalanges. And you said that you are going through pain on your fingertips, which are not very normal even though many people believe so because the bones that we have in our hands are small, but a fractured finger is not a minor injury. The bones in a normal hand line up exactly with each other, which doesn’t help the situation. So when you have a fractured finger bone, it may cause your whole hand to be out of alignment and without treatment, your fractured finger will probably stay stiff and painful, which seems like what you’re dealing with unfortunately. So from the symptoms that you’re dealing with I am going to assume that you’re dealing a fracture in your phalanges, which is caused by several things. Our hand can be injured while working with tools such as a saw, or fast moving objects that would hit your hand and or slamming our hand in a door. So if you don’t mind me asking, have you playing any sports such as basketball, football, or even baseball?

The studies have shown that one of the most seen cause of the death, immobility among the elderly population is the proximal femoral fractures. A notable number of the patients who had femoral fracture won’t be able to return to their pre-fracture functional condition. Within a year after surgery, less than 50% of the patients can walk without help, and only 40% can perform their ADLs activities independently.

The loss of the tendon-to-bone insertion site is a common and difficult problem in orthopedic injuries of the hand, elbow, knee, shoulder, heel and foot. These types of injuries may be treated surgically by repair, reconstruction or grafting solutions. Tears of flexor tendons of the hand, for instance, requires surgical attachment of a tendon to its bony insertions. The processes may be beneficial to the patient but have the potential to lead to possible complications including adhesion formation, tenolysis, persistent tears and sub-optimal function as result of limited motion. [1-2] In addition, in the case of traumatic injuries, amputation maybe necessary but has the potential for inducing permanent functional, psychosocial, and cosmetic

Short segment pedicle screw instrumentation, involving one vertebra above and one vertebra below the fracture level and also the fractured vertebrae, has become the most common method in the treatment of thoracolumbar burst fractures and has replaced the traditional long segment instrumentation to decrease the number of motion segments sacrificed in the fixation process. It provides the benefit of decreased involvement of motion segments than fixation with longer instrumentation.(6)

Olecranon fracture is a common injury and constitutes 10% of upper extremity fractures (1, 2). It commonly occurs due to a direct impact or a fall onto an outstretched hand. Management of olecranon fractures with tension band wire fixation is indicated in simple displaced fractures and was first introduced by Weber and Vasey in 1963 (4). There is a high prevalence of metalwork removal due to metalwork irritation. Metalwork irritation may be caused by Kirschner-wires loss of fixation and backing out of the insertion site (5).

Falls can lead to increased dependency, reduced mobility which results in reduced health, and fear of falling. After an osteoporotic fracture half can no longer live independently. These all have a huge effect on the person’s daily activities. The 1.7 billion from hip fractures goes to the acute care, social care and drugs. (S)