Distal Radius Fracture Essay

An elderly female patient presented to the emergency department with obvious deformity in the distal aspect of her forearm following a fall onto her left arm. The patient had fallen backwards onto her left side and landed on her wrist which was in a flexed position. Due to the way the patient had fallen, as well as her age, the primary pathology the doctor had suspected was a Smith’s fracture (also known as a reverse Colles fracture). “Smith fractures are fractures of the distal radius with associated palmar angulation of the distal fracture fragment” (Goel & Gaillard, 2015, para. 1). An x-ray was required to determine if it was a Smith’s fracture or another type of fracture. If the fracture turned out to be

This condition is diagnosed with a physical exam. During the exam your health care provider will determine how severe the injury is and the best way to treat it. X-rays may be done to check for damage to the

There are many specific types of fracture that occur in the thumb and first metacarpal, fractures of the proximal phalange and distal phalange are simpler to manage than the more complex Bennett and Rolando fractures which involve the joint between metacarpal and carpal bones (Day & Stern, 2010). If a fracture occurs in the first metacarpal, or proximal or distal phalange the patient will experience pain to the thumb, the area may appear bruised and will swell; patient also in most cases experience a loss in function and are unable to complete tasks such as pinching motions (The Royal Berkshire NHS Trust, 2013). Anne is not experiencing any loss of function in her arm and there is no swelling of the thumb; consequently, it is unlikely that Anne has fractured her first metacarpal, distal or radial

Ulnar collateral ligament injury is a type of elbow injury that develops from repeated overhand throwing movements (overuse). This motion places a lot of stress on the two strong bands of tissue (ligaments) that hold your elbow joint in place. The ulnar collateral ligament (UCL) is a main ligament located on the inside of your elbow. Over time, repetitive overhand throwing can damage the UCL.

In addition Allen could not raise his arms against gravity, had flaccid lower extremities, and was without triceps or wrist extensor reflexes, and other muscle stretch reflexes were absent. If the fracture was at C4-5 Allen would not be able to shrug his shoulders and if the fracture was at C7 he could extend his flexed arms.

Elbow fractures are often the result of either a fall or a direct blow to the elbow. The fracture type will depend in large part upon how the person falls or gets hit. For example, someone who falls onto an outstretched arm will hurt a different part of the elbow

He is total care with his ADLS, he is able to verbalized his needs but unable to perform them. He reports that he had a colostomy placed in 2011 and urostomy placed in 2014. His father provides hygiene care and changes for both his colostomy and urostomy bag. He has bilateral arm/hand contractures and he has gotten weaker. He is getting OT and PT from kindred home health. He uses a hospital bed with air mattress and his father changes his position every 3 hours. He reports pain in his legs and back that is constant, dull and aching. His pain is worse with movement and dressing change. His current pain level is 8/10 on a pain scale. His pain regimen consists of fentanyl 75 mcg patch every 72 hours and oxycodone 5 mg p.o every 6 hours as needed for breakthrough pain. He has been taking 2 prn doses daily because he did not want to run out of medication. He states that 2 prn dose is not effective in relieving his breakthrough pain. He previously was getting his medication from his PCP but since his condition has deteriorated his parent who are elderly is not able to get him to the

He also says and demonstrates that if he supports the wrist that the tip of the ulna "goes back in place" and if he holds it the pain goes away. He reports that he has a laxity in the wrist. The PA Ms. Becker went over the MRI, x-ray and the ultrasound. She said he was born with the ulna being longer, that it is not acute. The MRI did show some fluid which could be from inflammation. She said she would recommend he go to a hand specialist. Mr. Naranjo was not aware of the results of the MRI other than they were normal because he opted not to follow up with Dr. Branch. He said he did not like Dr. Branch, that he did not feel a connection. Ms. Becker would also recommend a MRI of the wrist done at Sparrow so the previous radiologist could compare it to the prior forearm MRI, She suggested Dr. Stevens a hand specialist, and she also ordered Occupational therapy to continue. Mr. Naranjo asked if she would order some pain medication since he has

Serum N-terminal propeptide of type 1 collagen (P1NP) in Elderly Patients with Hip Fracture: Relationship with Sociodemographic and Clinical Characteristics, Other Parameters of Bone and Mineral Metabolism, and Short-term Outcomes

Per medical report dated 10/26/15 by Dr. Parsioon, the patient was initially seen on 9/14/15 for evaluation and treatment of cervical pain. At that time, he had neck pain without radiculopathy and bilateral hand tingling. IW stated that physical therapy made his neck pain increase and he wanted to make sure that it is okay to continue this. His chief complaint is pain in his neck radiating to the right shoulder and arm. He states the only time he gets the tingling sensation in the hand is

Of the pediatric patients with forearm fracture included in this study, there were 32 male and 13 female patients with a mean age of 9 years (range: 5-15). The right forearm was fractured in 27 patients, and 23 patients suffered fracture of the left forearm. Only those fractures that involved the middle third of the radius and ulna were included in the study. Both bones were fractured in 32 (71.11%) patients. The radius only was fractured in ten (22.22%) patients, and the ulna only was fractured in three (6.66%). There were seven (15.55%) open fractures (Gustilo and Anderson Type I). All patients had isolated forearm fractures without associated injuries. The mechanism of injury was

They are pain over the radial styloid process, and tenderness. Over the skin above the fracture, swelling, deformity, and bruising will appear.

Fractures are bad. It usually keeps you away from sports for weeks to months. 2 of the most common fractures are acute fractures and stress fractures. Acute fractures is a clean break in the bone. Lucky for these people they don’t put no damage on the muscle which would take more time to heal. Stress fractures are when you run too much and the bone isn’t strong enough to support it. Did you know when you run your creating 2 to 3 times your body weight on your lower limbs? That is why it is so

The forearm is the part of the arm between the elbow and the wrist. It is made up of two bones called the radius and the ulna. A forearm fracture is a break in one or both of these bones.

Distal tibial fractures have the second highest incidence of all tibial fractures after the middle third tibia8 These fractures are unique due to the fact that, the distal tibia is covered with relatively less muscular coverage and is relatively less vascular bone. Even lower velocity trauma can cause severe soft tissue injury and bony communition. These fractures are usually associated with lower fibular fractures which need to be fixed to get stable ankle mortis. Any mal union of these fractures can disrupt the biomechanics of the ankle & foot joints leading to the early arthritis of these joints. The fractures being very near to the ankle joint any form of fixation is vulnerable due to amplification of the bending moment of the short distal