Scaphoid Break: A Case Study

Because of the potential displacement of bone fragments there was the possibility that the wrist would not look normal on the x-rays and that it may not have been possible to get a perfect lateral wrist. This was potentially problematic because it meant that the doctor may not have been able to measure the amount of displacement or the degree of angulation accurately. The doctor not being able to measure displacement and angulation properly may cause a problem when they are considering treatment options. Another thing that would be a potential problem while the x-rays were being taken is that the patient was in a lot of pain around the distal area of the radius and ulna. The pain in her wrist meant that she was not able to move it into the ideal positions without either her wrist hurting more or the potential to displace bone fragments even more. The patient had known osteoporosis which is a decrease in bone density (or bony tissue) (Knipe & Prasad Pant, 2015, para. 4). Because of the decrease in bone density the pathology was more likely to be a fracture because the bones would not be able to

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

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.

PROCEDURE: The patient was placed in the supine position on the operating room table, where her right hand and forearm were prepped with Betadine and draped in a sterile fashion. We infiltrated the thenar crease area with 1% Xylocaine, and once adequate anesthesia had been achieved, we exsanguinated the hand and forearm with an Esmarch bandage. We then created a longitudinal incision just at the ulnar aspect of the thenar crease and carried the dissection down through the subcutaneous tissue. We identified the transverse carpal ligament and incised this

PROCEDURE: The patient was placed in the supine position on the operating room table, where her right hand and forearm were prepped with Betadine and draped in a sterile fashion. We infiltrated the thenar crease area with 1% Xylocaine, and once adequate anesthesia had been achieved, we exsanguinated the hand and forearm with an Esmarch bandage. We then created a longitudinal incision just at the ulnar aspect of the thenar crease and carried the dissection down through the subcutaneous tissue. We identified the transverse carpal

Patient is a 57-year-old male fuel tank driver who sustained cumulative trauma on 2/7/2004 due to repetitive movement caused by delivering fuel. As per QME dated 1/25/14, the patient has numbness in the fingers and the patient is diagnoses that he has carpal tunnel syndrome. The left wrist had undergone carpal tunnel surgery; however, he gets numbness from the wrist up into his forearm and numbness in the fingertips. It was also noted that on 12/5/13, the patient complains of shoulder pain bilaterally at 7/10. It is constant and goes into noth arms, along with weakness with numbness in the hands, decreased ability to perform activities of daily living, and impared grip. The pain in the bilateral shoulders is constant and aching with intermittent

DOI: 1/23/2014. This is a 36- year old male relief driver who sustained injury while he was putting away the automatic tarper when he was struck on the right shoulder and got driven into the ground and twisted his right foot. Per OMNI, he was diagnosed with right shoulder strain, and back/neck/right foot fracture. As per office notes dated 6/3/16, the patient is complaining of numbness in all extremities specifically the bilateral feet, arms and bilateral elbows. He has had a flare-up of pain that past couple of weeks around lateral column of the right foot made worse with walking and standing. He has been taking Neurontin 300 mg thrice a day which is helping control his symptoms. He apparently had a bilateral upper extremity upper extremity

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.

“The setback is serious enough to warrant close monitoring and treatment," Dr. Tehrany stated. "It will impact his future if it does not completely resolve over time."

Claimant’s family members and colleagues concerning the accused loss of function in daily activities of living.

For the human joint anatomy project, our group decided to research and construct the elbow joint. The following is a report and summary of the project including roles taken, challenges faced, solutions derived, and ultimately, contribution and experiences of both partners.

Even with active assistance, the patient can only achieve approximately 140 degrees of forward elevation, 60 degrees of external rotation, and internal rotation barely to his upper sacrurn. He has 4/5 supraspinatus weakness and pain. Internal and external rotation strength seems to be normal. He has a nonspecifically painful Neer’s, Hawkins, and O’Brien’s test. His proximal biceps and acromioclavicular (AC) joint are both very tender to palpation.

Carpal tunnel syndrome is a common condition that affects the hand and wrist. It happens when too much pressure is put on the median nerve. The median nerve runs through a structure at the wrist called the carpal tunnel, which is where the syndrome gets its name. Sometimes the carpal tunnel (which is made up of the carpal bones and the transverse ligament) will narrow, due to swelling, and that is how the median nerve gets squeezed. This condition is usually progressive (it will continue to get worse over time) and the symptoms involve numbness and pain in the wrist and hand. Sometimes the pain will also spread up into the arm (Sartore).

HISTORY OF PRESENT ILLNESS: Ruby Pearce follows up today for reevaluation of her left proximal humerus fracture sustained secondary to a fall on July 9, 2015. She was seen in the office on July 15, 2015 and a course of nonoperative treatment for proximal humerus fracture was begun. She was given a prescription for physical therapy and instructed on home exercise program including pendulum motions and wall walking. She has not attended physical therapy, but has been diligent with her home exercise program. Her pain is intermittent and sometimes sharp, but is easily controlled with medications. She states she has a 5-6/10 at times. She takes Tylenol to control these symptoms. She notes no neurovascular

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