After satisfactory level of general anesthesia was reached and patient was in the supine position, he was further placed in a beach chair position. A longitudinal incision was created over the region of the left AC joint. At this time, sharp dissection was conducted down to the fascial plane. The fascial plane was then further incised, reflecting both the deltoid and the trapezial fascia and the distal aspect of the clavicle undermining the clavicle; at this time we simply proceeded excising the distal 1 cm of the clavicle with use of a reciprocal saw. With completion of this element of the procedure, the margins of the bone were otherwise unremarkable in gross appearance. It was also significant to note at this time the acromial end of the articulation was unremarkable. The wound was irrigated, followed by controlling of punctate bleeding with use of electrocautery, followed by the closure of the deltotrapezial fascia. At this time I further imbricated sutures for stable repair, followed by repair of subcutaneous and dermal planes. A simple dressing was applied. The patient tolerated the procedure well and was transported to the recovery room in a stable manner.…
Operative procedure: Open reduction internal fixation of right intertrochanteric femoral fracture with dipwheeze sliding screw.…
PROCEDURE: The patient was placed in the supine position on the operating room table, where her right hand and…
A fracture occurs when a bone in the body is broken. When a bone is fractured, its natural or original alignment is displaced. Therefore to repair the break, the fragmented bone must be aligned to ‘reduce’ the fracture; hence the term reduction. However, the type of fracture determines the type of reduction procedure needed. There are two forms of reduction available to patient. The two kinds of reduction are;…
* Treatment: rest, modify physical activities, avoid heavy lifting, a brace, physical therapy these all fail surgical treatment (arthroscopic removal of damaged extensor carpi radialis brevis).…
A tibial plateau fracture is a break in the bone that forms the bottom of your knee joint (tibia or shinbone). The lower end of your thighbone (femur) forms the upper surface of your knee joint. The top of the tibia has a flat, smooth surface (tibial plateau). This part of your shinbone is made up of softer bone than the shaft of your shinbone. If a strong force drives your femur down into your tibial plateau, it can cause the tibial plateau to collapse or break away at the edges.…
People with arthritis have often suffer with stiff, rigid and painful joints, and movement of joints can be limited, it is important to not forcefully move the joints beyond their capabilities in order to prevent pain and discomfort.For Individual's suffering from fractures, the movement should be gentle and careful, and correct procedures must be followed, so as to reduce any further complications to the fracture. Should the individual be bed-bound, the correct hoist and sling must be used. When staff follow appropriate moving and handling techniques, it will reduces the risks of back injury, pain and discomfort to both service user and staff themselves.…
On the sixth week after injury cast was removed and Karen was to begin physical therapy. At first the main purpose of physical therapy with Karen’s type of injury (proximal humerus fracture) is to regain passive motion of the glenohumeral (shoulder) joint. In the beginning caution should be taken against being too eager to start active motion such as forward elevation and abduction. For this type of injury it would be…
The main purpose of this research was to answer the PICO question regarding whether the endoscopic carpal tunnel release (ECTR) technique has a faster recovery time and less chance of scar tenderness compared to the open carpal tunnel release (OCTR). The evidences that were presented in this research all support the answer to the research question that was formulated prior to the research. There were total of five articles that were critically analyzed and discussed to find the relevent information to support the research question.…
The Holy Name Hospital Occupational Therapy Department sees an array of patients ranging from rehabilitation in fractures and strokes to hands and shoulders. The patient who I observed had a wrist fracture, which was obtained by falling down a flight of stairs. The patient was attending treatment sessions in…
Thesis Statement: Female athletes should know that they have a higher risk of tearing their Anterior Cruciate Ligament (ACL).…
R est the affected knee. Consider crutches to keep the weight off the knee. However, many doctors say not to keep the knee unmoving for too long. It's best to start some exercises to keep the joint moving.…
The scapula is defined as a large triangular flattened bone lying over the ribs, posterior on either side, articulating laterally with the clavicle at the acromioclavicular joint and the humerus at the glenohumeral joint. It forms a functional joint with the chest wall, the scapulothoracic joint (Dirckx, 2001). Also known as the shoulder blade, unlike most bones of the body which serve as rigid spacers, is one of the few bones that act like "anchors" for soft tissues and other bones (Clay & Pounds, 2003). There are three groups of muscles that attach to the scapula. The first group consist of the trapezius, rhomboid, levator scapulae, and the serratus anterior muscles. These deal with stabilization and rotation of the scapula. The second group consists of the deltoid, biceps, and triceps muscles. The third group includes the muscles of the rotator cuff which consist of the subscapularis, the supraspinatus, infraspinatus, and teres minor muscles (Thibodaux & Patton, 2002). There are a few other roles the scapula plays in the functioning of the shoulder. The first is being a stable part of the glenohumeral articulation. This has to do with the ball-and-socket relationship the scapula has with the humerus and maintaining a coordinated relationship in terms of movement. The scapula is also involved in the retraction and protraction along the thoracic wall and the elevation of the acromion in certain movements for sports such as throwing or serving. These roles are important in acceleration and deceleration and avoiding impingement and caracoacromial arch compression during these types of movements (Kibler, 1998).…
In the United States, foot fractures are a common injury in both children and adults. The fracture may occur in one of the 26 bones that help create the internal structure of the foot. A sports related injury, a sudden impact, stepping wrong on a sidewalk or dropping a heavy object on the foot are just a few of the ways a foot fracture may occur.…
Clavicle fractures are common injuries, representing 2.6-5% of all adult fractures. About 69% of clavicle fractures occur in the diaphyseal, and about half of them are displaced. Historically, the vast majority of clavicle fractures have been treated non-operatively. This is largely because of reported nonunion rates of less than 1% by Neer and Rowe . However, good outcomes of non–surgically treated fractures are not universal. Studies showed that nonunion rate for displaced diaphyseal clavicle fracture is 15% , and have found that those nonunion are particularly inclined to symptomatic, which require further treatment after initial intervention. Although many studies have outlined the poor outcomes after non-operative management…