Scribd Logo
Upload

Welcome to Scribd!

  • 18 views

    Upper Body Ortho

    Uploaded by

    Jerin Xavier

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd

    Upper Body Ortho

    Uploaded by

    Jerin Xavier
    18 views8 pages

    Original Title

    upper body ortho

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Download as pdf
    18 views8 pages

    Upper Body Ortho

    Uploaded by

    Jerin Xavier

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Download as pdf
    of 8
    CASE 3 Non ~ union Olecranon 27 years old male Complains of inability to extend his right elbow ~ 2 months History: Fall 2% months ago. Direct blow or fall on elbow. Fall on outstretched hand. Indigenous treatment present. Inspection: Arm by the side, elbow in flexion, wrist in neutral position. Triceps appears contracted and wasted. Palpation of right elbow: Olecranon is irregular, non tender with a transverse gap or step. Both medial and lateral condyles are normal. Supracondylar ridges are normal. Triceps contracted. Deformity: fixed flexion deformity 80 degrees. Investigation: X-ray 1. What is the possible diagnosis of this condition? 2. Which fracture type is it from AO classification? 3. What are the treatment objectives of this condition? 4. What kind of treatment would you suggest to do? 5. What are the complications of this condition? ‘Scanned with CamScanner 30 years od male Referred to emergency department with painin right shoulder. Two hours ago felt onthe ip ofthe ht shoulder during hockey game. ast Mecical Hstory: Unremarkabe, Inspection: Visual deformity and sweling aroun AC in. Falpation: Pan, tenderness and deformation around AC it. ‘Movementin shoulder joint restricted de tothe pan. Investigation ay 44 What other investigations wil you perform? 2. whatis this possible agnosis ofthis condition? ‘3. Which ype is this condition from clasifcation? 4 what treatment types éo you now? 5. What re the compleations of his condition? CASE 8 Sterno claviculai it dislocation 25 years old male Referred to emergency department with shortness of breath, swallowing difficulties and pain in sternum. 30 minutes ago felt on the right shoulder during rugby game. Past Medical History: Unremarkable. Inspection: Visual deformity and swelling around SC joint. Palpation: Pain and deformation around SC joint. Palpable sternal corner on ipsilateral side Investigation: CT 1. Which soft tissue determines the stability of this joint? 2. What is this possible diagnosis of this condition? 3. Which type of this medical condition is it? 4, What treatment types do you know? 5. What are the complications of this condition? CASE 17 Proximal humerus fracture 45 years old female Complains of pain and decrease of ROM in right upper limb. History: She sustained an injury by falling down on her shoulder, and was brought by ambulance in ED after 2 hours. Patient is diabetic. Inspection: Upper limb is by side of body, elbow in flexion, wrist in neutral position, painful at movement. No obvious deformity or shortening of R hand present. No evidence of scars, sinuses or mass. Palpation: Tenderness, abnormal mobility present U/3rd of limb. Distal pulse +. Numbness in fingers +. Investigation: X-ray 1. What is the most likely 2. Which type is this condition from AO classification? 3. What is the choice of treatment for this condition? 4, What is the humerus blood supply? 5. What are the complications of this condition? ee — CASE 19 Distal humerus fracture 10 years old male Felt down on his hand, while descending on stairs 2 hours ago. Examination: Pain, swelling and skin tenting, No distal pulse Xray: What is the possible diagnosis of this condition? What is the classification of this condition? What treatment types do you know? f surgical treatment is indicated which one do you perform? ‘What are the complications of this condition? (CASE 10 Non-union Fracture Shaft of Humerus 40 years old male go Complains of deformity in the right arm—9 months kon S goo tos History: Fall and sustained closed injury to R upper limb 9 month ago. indigenous treatment present. Inspection: Arm is by side of body, elbow in extension, wrist in neutral position. Deformity present middle 1/3 of humerus. Obvious shortening of R arm present. Wasting of deltoid muscle on R side present. No evidence of scars, sinuses or mass. Palpation: No tenderness. Anterior angulations of distal fragment present. Gap palpable on M/# of humerus. Minimal thickening of humerus at M/3 present. Abnormal mobility present M/3 of Movement: R shoulder ~ abduction and external rotation restricted. R elbow ~ flexion, extension full. R wrist & fingers ~ full, no radial nerve involvement. Investigation: X-ray 1. What s the possible diagnosis of this conclton? 2. What are the risk factors ofthis condition? a . a. Which recture typeleKronsA0 deaiimantiont 7%" yy OT 4. What kindof treatment would you suggest odo? csv 0S SP oN 5. What complications of surgcl treatment do you know ofthis condition?

    You might also like