Humerus Manufacture Case Study

Closer to the origin of the body. In this case the fracture at the proximal diaphysis means the part of the shaft closer to the origin of the humerus (the shoulder)

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.

Dodgers’ pitcher Alex Wood had hoped to return to play soon, but the recovery process will take longer than he had hoped. Wood suffered an elbow impingement in late May, and was on the 60-day disabled list, making him eligible to potentially return to play on July 30. Unfortunately, after playing two innings of a simulated game at Dodger Stadium on July 17, it was determined that Wood’s injured elbow will require surgery. The surgery will put him out of commission for roughly eight weeks, which would put him at returning to rotation ideally in about mid-September.

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).

In July 2015 there was a proposal issued for a new Comprehensive Care for Joint Replacement program. This proposal is designed to establish bundled payments fir total hip and knee replacements. The program for Comprehensive Care for Joint Replacement (CCJR) is a crucial development for Medicare and Medicaid holders.

The right humerus shows evidence of a transverse fracture, unknown if ante or post mortem, with teeth marks from scavengers. The right radius and ulna appear normal, with minimal damage from weathering and scavengers.

Patient came into the hospital as an outpatient claiming that they were experiencing tenderness and stiffness in their left shoulder. Upon reading the requisition as well as asking the patient more questions I discovered that the patient had slipped and fell onto the ice 3 days previous. This patient explained that they were reluctant to go to the doctors as they already had stiffness in the left shoulder and they were convinced it was nothing serious. After taking the first image (the AP) it became clear that there was a comminuted fracture of the proximal humerus. A

According to Kacprowicz (2017), “in order to properly diagnose and treat any injury to the UCL, a comprehensive understanding of the functional anatomy and biomechanics of the UCL in overhead throwing sports is imperative.” The anterior bundle of the UCL is particularly susceptible to injury. The study by Awh (2010) reports that, “These injuries are often associated with those of the flexor pronator muscle-tendon unit, a stabilizer at the medial elbow. Strains and/or fatigue of the dynamic stabilizers may cause increased tears of the UCL.” The posterior bundle of the UCL is not as vulnerable for injury since it does not play a large role in the overhead throwing motion.

Patients that experience hip fractures will die within a year. Many of these fractures are due to immobility according to assessment and Management of Clinical Problems (1788). Many falls occur in the older adult population and usually age over 60. Hip fractures not only happen with falls but also can come from blunt trauma to the hip, car accident, disease like osteoporosis and obesity can all be a major concern to hip fractures. The video talks about the common hip joint site are dislocation. Hip fracture may involve both vascular and bony damage to the body. Hip fractures are determined by atomic location of the fracture. These common fractures occur at the head of the femur, neck and greater trochanter. Over my twenty years of health care experience I have witness patients going through some difficult physical therapy. Many patients do not bounce back and many give up because the rehab is so

There are a very small amount of easy treatments possible for this injury. Depending on the type of labral tear and intensity of symptoms, one may need surgery. Most tears, both shoulder and hip, do not depend upon surgery, but patients that obtain

DOI: 3/5/2015. Patient is a 53-year old male coordinator who sustained injury to his right shoulder and right arm, when he slipped and fell while walking into work. Per OMNI, he was initially diagnosed with fracture of the right humerus and contusion of the right elbow. This claim is established only for the right shoulder and elbow.

Balci, A., Basara, I., Çekdemir, E. Y., Tetik, F., Aktas, G., Acarer, A., & ... Acarer, A. (2015). Wrist fractures: Sensitivity of radiography, prevalence, and patterns in MDCT. Emergency Radiology, 22(3), 251-256. doi:10.1007/s10140-014-1278-1

Nine Type-I and six Type-IV fractures were identified in this series. All patients were right-hand dominant. The dominant side was injured in three cases only. The mechanism of injury was a low-energy fall in all cases. All fractures were closed. There were no associated neurovascular injuries. There were two ipsilateral radial head fractures and one lateral epicondyle fracture. No other concomitant upper limb musculoskeletal injuries were seen. Intraoperatively, trochlear involvement was identified in association with all Type-IV fractures. The lateral collateral ligament was intact in all fractured elbows, except in one where the lateral collateral ligament was found to be avulsed along with an attached lateral epicondyle fracture fragment.

The shoulder joint is the most mobile joint of the body moving in three planes and around three axes (Lippert, 2011). The shoulder joint is made up of a synovial ball and socket articulation between the large head of the humerus, and the small glenoid cavity of the scapula, making it one of the least stable joints and more prone to injuries (Lippert, 2011). The stability of this joint highly relies on its ligaments, tendons, glenoid labrum and its muscles (Lippert, 2011). Although these structures maintain the stability of the shoulder joint, it is prone to many injuries and pathologies such as a labral tear.

These injuries costed over $10 billion. Hip fractures are the most common injury in seniors over the age of 70 resulting from a fall. They can be fatal and very costly. Many of those who do not die from this injury end up in nursing homes. These injuries are not the only ones that can originate from a fall however. Other common injuries are broken arms, shoulders, legs, ribs, and even pelvis. Seniors take longer to heal from these injuries than others due to slower healing and weaker bones that comes with age. Overall, these injuries are costly and can reduce life expectancy. Those who are lucky enough to not suffer an injury suffer physiologic impacts. This causes them to become extra cautious all the time and they can no longer do as many things as they used to. Also, if a senior has experienced a fall before, they are more likely to experience another one in their lifetime.