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.
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).
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.
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 clinical signs of this fracture are swelling and pain in the scaphoid region, tenderness in the “anatomical snuffbox”, pain on axial compression, pain while pronating the hand, and painful pinch grip2. Radiological diagnosis consists of a scaphoid series of X-rays: Anterior-Posterior, lateral, semipronated and semisupinated views2. In cases of so-called "occult" fractures, the fracture is not visible on the radiographs, if the clinical signs are highly suggestive of fracture a 2 week period of cast immobilization is recommended, followed by a repeat X-ray series2. If further investigation is required, CT and MRI scans can also be implemented.
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
What structure passes through the region outlined by the yellow arrow and how does it contribute to the pain experienced in the anterior compartment of the arm by Bruce? (3 marks) The structure passing through the yellow arrow is the humerus. It contributes to the pain at the anterior compartment of the arm by the long head tendon of the biceps muscle grinding against the scapular muscle. This leads to the ongoing instability of the humerus giving Bruce a large chance of a subluxated humerus. The superior labrum will also grind up against his inflamed bursa which is why Bruce has decreased range of motion and lots of
PHYSICAL EXAM: Examination shows comparing the right hand to the left, including the hand and wrist region, that there are skin scratches, very superficial, from activity. There is no tenderness. There is no soft tissue swelling. There is normal alignment. No deep tenderness to palpation over the fractures. No crepitus. No instability. Active range of motion is about 85% of the contralateral left side.
Distal Radius Fractures (DRF) are common fractures encountered in orthopedics within the elderly. As reported by Koval and Zuckerman (1998) the elderly have an increased number of DRF for numerous reasons including the fragility of osteopenic bone, postmenopausal osteoporosis and as a result of low energy trauma including trips and falls. According to Tortora and Derrickson (2009) they are more common in women than men because women’s bones are smaller, and the production of hormones in women declines dramatically at menopause, whereas only slightly in men. A study by Sennwald (1987) reported that after the age of 50, more than 85% of DRF occur in women, likely attributable to the impact of osteoporosis. Approximately one in seven women
Fragility fracture is occasionally the first presentation of osteoporosis. The incidence of osteoporosis-related fractures has been reported to increase with age and over 50% of the incidents occurring in menopausal women aged > 75 years. Vertebral column and hip are the most common site of fracture contributing to a significant morbidity and mortality in the elderly. Additionally, patients with an episode of fracture has a higher chance for future fracture.
Osteoporotic fractures constitute a significant public health issue and are a major cause of morbidity, mortality, and the number of older adults admitted to the hospital (Johnell & Kanis, 2006). Being osteoporotic, aggravates the incidence of fractures in elderly. The demand for the management of osteoporosis is expanding, because of the increase in incident rate and evolving understanding of the disease (Kanis, 2002; Kanis, Johansson, Oden, & McCloskey, 2009). It was estimated that by 2050 the global prevalence of hip fracture will be increased by 240% and 310% in women and men, respectively (Gullberg, Johnell, & Kanis, 1997). Furthermore the projected number of individuals with hip fracture will be increased up to 6.26 million by 2050 (Sambrook
The study performed by Ty et al. (2007) is reliable although the sample size is very small because of the valid methods and criteria used includes (1)the proper procedures for using CT of twenty-eight eligible participants, (2) patients with status post injury fro a fall on the outstretched hand with pain and tenderness of the scaphoid region, (3) the X-ray image performed after six weeks or more from injury for possible scaphoid fracture is unremarkable, (4) diagnostic traits ( sensitivity, specificity, negative and positive predictive values (PV) and the accuracy of CT for possible fracture of the waist of scaphoid and (5) by comparing into two different studies of using CT scan non-displaced scaphoid fractures. After Ty et, al (2007) compared their study by performing two trials, the outcome of the research of the CT scan of the patients with a non-displaced fracture is significant between 89-97 percent for the sensitivity, 85 to 91 percent for the specificity and 88 to 89 percent for the accuracy. The average PPV of the very low prevalence (5%) of scaphoid fracture of patients with possible scaphoid fractures using CT scan of the wrist is 0.28 and 0.99 for the negative PV. Therefore, CT scan is an important modality in detecting an actual fracture of the waist of the scaphoid, or
There is a strong correlation between osteoporosis and a Colles fracture. When a male patient is diagnosed with a distal radial fracture, it is imperative that correct tests should be done to eliminate osteoporosis as the patient 's risk of a hip fracture will also increase drastically as demonstrated in many studies (Patient, 2014).