Distal Fibula Fracture Case Study

When she was sent for an X-ray it showed that she had some swelling, but not a fracture. Dr. Scott advised her to think about having reconstructive surgery, which she followed through with. Part

I met Mr. Eigner at the office of Dr. Taha. Mr. Eigner reports he is not taking any pain medications at this time. He reports he has a jolting shooting pain to the right and left legs only occasionally. He denied any pain to his right forearm. X-rays taken showed good alignment and healing of the fracture. The incisions are all healed except for a couple small spots on the right ankle. There is some swelling to the right ankle which Dr. Taha said is to be expected. The range of motion to the left ankle and toes was good. The range of motion to the right stores was limited. Dr. Taha said there is scar tissue at times from this type of repair and he would like physical therapy to start working on that. He is still going to be non-weight bearing for another 6 to 8 weeks on the right leg. He is now allowed full weight bearing as tolerated to the left leg. Dr. Taha ordered a rolling scooter to aid with ambulation and stop using the wheelchair. I have contacted Reverence physical therapy and faxed the new orders so the service can begin. I will process the rolled scooter with directions from the adjuster. The attendant care and replacement services will continue through to the next appointment.

displayed signs of a suspected left hip fracture. Clinical indications would most likely show that the leg is held in external rotation and abduction, and appeared shortened when the patient lay in the supine position (LeBlanc et al., 2014). The patient would be in a high degree of pain and discomfort. Due to her care responsibilities, Mrs B. is keen to return home, and may be concerned about her ability to provide the same level of care after her injury. Where uncooperativeness and non-compliance with the requests of the nursing staff results, Milne, 2018, advises that patient cooperation relies on patience and good interprofessional communication.

Indications: The patient is a 69 year old black female who fell landing on her right hip. She was seen in the Emergency Room where physical exam and x-ray revealed an intertrochanteric right femoral fracture. She was admitted to Dr. Loyd’s service .

An X-ray of the claimant’s left foot performed on March 8, 2018 indicated previous remote trauma. Also indicated was advanced osteoarthritic degenerative changes in the left first metatarsophalangeal joint. The metatarsal fractures in the left foot were healed (Ex. 22F).

01/14/16 Progress Report noted that the patient has severe and constant pain. It is associated with numbness, tenderness, and restricted motion. Current pain level is 8/10. The patient is here for injection to the left subtalar joint. The exam of the left ankle revealed intact skin. There was no erythema or abrasion. No signs of infection. NVI distally. Distal sensation intact and brisk capillary refill. Clinical Assessment: The patient would like to go ahead with the

Patient also advised that she had broken both her ankles just 2 weeks prior and her doctor expressed concern over her lack of perfusion in both feet.

6. Tammy’s doctor should treat Tammy by providing her with crutches or a wheelchair to reduce weight on her left leg to stop further displacement. In order for Tammy to heal without any disruptions crutches are advised to decrease the amount of weight on Tammy’s left leg. For a stable SCFE treatment can involve surgery (Hart, 2007). The surgery includes using an in-situ fixation to connect the femoral neck back to the proximal femoral epiphysis. This surgery treats SCFE by pinning the proximal femoral epiphysis in its original position (Bennison,

The second half of this is outline too brief and superficial to be very helpful. See these web sites that do a better job describing Ankle Fractures:

Medical Diagnosis: Client was diagnosed with a fractured right tibia bone, and fractured right radial bone. Client has diabetes mellitus type one. Client has history of hypertension and was admitted with chest pain following accident. The client fell off her bicycle while walking her dog.

Two major classification are utilized, the Denis Weber, AO and the Lauge Hansen. The Denis Weber classified fractures as to the location of the fibula and the components of the ankle that have been injured. In the Weber type A fracture, The fibula is avulsed distal to the syndesmotic ligaments, and the medial malleolus is fractured vertically. (19)

The athlete that I was able to facilitate preforming his rehabilitation assignment had a slight fracture in the distal end of his fibula causing a tear in his interosseous membrane, which is the membrane in between the tibia and fibula, and a syndesmosis sprain due to the dislocation of the ankle. The surgery consisted of the athlete having a plate in so the fibula could heal correctly and metal pins in near the distal end of the fibula to connect the tibia and fibula back together. The athlete was not able to put weight on injured leg at all from the time of the surgery until two weeks after the athlete gets their pins removed. At the start of the

• A type I fracture causes a break in the tip of the tibia but does not move the bone fragment out of place.

Differential Diagnosis: Could be an injury to the deltoid ligament, CF, or the ATF ligament.

The primary cause of a fracture is trauma from car accidents, sports injuries and falls. The trauma may be a direct blow to the bone or an indirect force from muscle contractions or pulling on the bone. Other factors that may contribute to fractures include: vigorous exercise, malnutrition, genetic factors, and osteoporosis. The most common cause of a distal radius fracture is falling onto an outstretched arm (Ignatavicius & Workman, 2013). “Wrist fractures of the distal radius are common and may present special problems for the surgeon and therapist. There are several categories of distal radius fractures, but the Colles fracture of the distal radius is the most common injury to the wrist and may result in limitations in wrist flexion and extension, as well as forearm pronation and supination, resulting from the involvement of the distal radioulnar joint” (Early, p.613).