Caseortho ext.bodin
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- An 8-year-old Thai boy presented with right arm pain for 1 hour after falling while playing and landing on his outstretched right arm. - X-rays showed a proximal 1/3 ulnar fracture of the right forearm with associated radial head dislocation. - The diagnosis was a Monteggia fracture of the right forearm. For pediatric patients, treatment is typically closed reduction of the ulna and radial head fractures with long arm casting. Operative treatment is indicated for unstable or open fractures.
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Extern conference
This document summarizes the case of a 13-year-old Thai boy who injured his left forearm after jumping and landing on it. His primary and secondary surveys at the hospital found a deformity and tenderness in his left forearm with x-rays confirming a closed fracture of both forearm bones. His management plan includes admission to orthopedics, monitoring for compartment syndrome, pain control, and potential surgery depending on the healing response and alignment of the fractures. Forearm fractures are common in pediatrics from falls and most can be treated without surgery through casting.
Extern conference ortho
This document describes the case of a 69-year-old Thai man who presented to the emergency department with right thigh pain after falling 1.5 meters from the roof of his house. On examination, he had swelling and tenderness of the left thigh with limited range of motion. Radiographs revealed an intertrochanteric fracture of the left femur. Intertrochanteric fractures occur between the greater and lesser trochanters and are common in elderly patients, often resulting from low-energy falls. Treatment depends on the stability of the fracture but may involve internal fixation with screws or cephalomedullary nails. Complications can include malunion, nonunion, and loss of fixation.
Ortho con supra copy
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Extern conference may
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- X-rays showed a closed fracture of the left supracondylar humerus, classified as a Gartland type II.
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Noon conference hangman
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Ortho..
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Extern conference ortho
1. A 41-year-old Thai man fell from a 10-wheel truck while unloading goods and his right leg struck the ground.
2. His right leg was deformed, swollen, and painful around the shin and he could not bear weight. There were no other injuries.
3. X-rays showed a fracture of the right tibia shaft.
The document describes a case of a 41-year-old man who fell from a truck, injuring his right leg. His leg was swollen, deformed and painful around the shin. X-rays confirmed a fracture of the right tibia shaft. The document then provides information on tibia shaft fractures, including mechanisms of injury
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Extern conference
This document summarizes the case of a 13-year-old Thai boy who injured his left forearm after jumping and landing on it. His primary and secondary surveys at the hospital found a deformity and tenderness in his left forearm with x-rays confirming a closed fracture of both forearm bones. His management plan includes admission to orthopedics, monitoring for compartment syndrome, pain control, and potential surgery depending on the healing response and alignment of the fractures. Forearm fractures are common in pediatrics from falls and most can be treated without surgery through casting.
Extern conference ortho
This document describes the case of a 69-year-old Thai man who presented to the emergency department with right thigh pain after falling 1.5 meters from the roof of his house. On examination, he had swelling and tenderness of the left thigh with limited range of motion. Radiographs revealed an intertrochanteric fracture of the left femur. Intertrochanteric fractures occur between the greater and lesser trochanters and are common in elderly patients, often resulting from low-energy falls. Treatment depends on the stability of the fracture but may involve internal fixation with screws or cephalomedullary nails. Complications can include malunion, nonunion, and loss of fixation.
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Extern conference may
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Ortho
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Extern conference ortho
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3. X-rays showed a fracture of the right tibia shaft.
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Galeazzi fx saraj pcm
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Extern case
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A 9-year-old boy fell from a tree approximately 2 meters high, injuring his left arm and head. On examination, he was found to have a deformity and swelling of his left wrist with tenderness. X-rays revealed a greenstick fracture of the distal ulna with dorsal angulation and an epiphyseal plate injury of the distal radius, consistent with a Salter-Harris Type 1 injury. The boy underwent closed reduction of the fracture with application of a long arm cast to immobilize the injury for 3-6 weeks. Physeal injuries in children can lead to growth disturbances if not properly treated.
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.Ortho.
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The document summarizes the case of a 19-year-old Thai man who presented to the emergency department after being assaulted with a knife. He sustained a large laceration and open fracture of both the radius and ulna in his right forearm. Physical examination revealed the injuries as well as decreased sensation and inability to extend his wrist and fingers. X-rays confirmed the open, oblique fractures of both forearm bones. The patient was taken to the operating room for wound debridement, tendon repair, and application of a splint.
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Extern orthopedics-conference
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2) Physical examination revealed localized tenderness and limited range of motion of the left hip. X-rays showed a closed fracture of the left intertrochanteric region.
3) Intertrochanteric fractures occur between the greater and lesser trochanters. Surgical treatment with an intramedullary hip screw is usually recommended for unstable patterns to stabilize the fracture.
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A 16-year-old female presented with progressive adolescent idiopathic scoliosis. Her curve had increased from 40 degrees to 46 degrees over two years while wearing a brace. Pre-op x-rays showed a 46 degree thoracic curve. The indications for surgery were a progressive curve, pain, and deformity. The surgical strategy involved segmental spinal instrumentation from T2 to L1 using pedicle screws, multiple osteotomies from T5 to T10 including Smith-Peterson osteotomies, and posterior spinal fusion from T3 to L1. Post-op films showed the patient was well-balanced in the coronal and sagittal planes, and her symptoms resolved following surgery.
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Case conference extern ortho ed1
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bbfx_orthomhr
This document summarizes the case of a 14-year-old Thai male who presented to the hospital with right arm pain after falling while playing football. On examination, he was found to have swelling and deformity of the right forearm with limited range of motion due to pain. X-rays revealed greenstick fractures of both the radius and ulna of the right forearm. The diagnosis was closed fractures of both bones of the right forearm. Treatment options discussed included non-operative management with closed reduction and casting or surgical options like percutaneous or open reduction with internal fixation.
Conference extern
1. The patient is a 47-year-old Thai male who injured his left index finger while working as a sugarcane cutter. Physical examination revealed a 2 cm cut wound on the back of his left index finger with active bleeding and a tear of the extensor tendon in zone V.
2. The diagnosis was a cut wound with a tear of the extensor tendon in zone V of the left index finger. The management plan was to admit the patient, administer a tetanus booster and IV antibiotics, repair the extensor tendon with local anesthesia, and splint the finger.
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This document describes a case of a 61-year-old Thai man who presented to the emergency department with left hip pain after falling 1.5 meters from a tree while working. On physical examination, he had tenderness and deformity of the left hip with limited range of motion due to pain. X-rays showed a posterior dislocation of the left hip. He underwent closed reduction of the hip dislocation under general anesthesia. Post-reduction x-rays confirmed an acceptable reduction.
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Similar to Caseortho ext.bodin
Interesting case orthopedic วุฒิกร^^
A 9-year-old boy fell from a tree approximately 2 meters high, injuring his left arm and head. On examination, he was found to have a deformity and swelling of his left wrist with tenderness. X-rays revealed a greenstick fracture of the distal ulna with dorsal angulation and an epiphyseal plate injury of the distal radius, consistent with a Salter-Harris Type 1 injury. The boy underwent closed reduction of the fracture with application of a long arm cast to immobilize the injury for 3-6 weeks. Physeal injuries in children can lead to growth disturbances if not properly treated.
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This document summarizes a case conference about a 67-year-old Thai female patient who fell and injured her left wrist. Upon examination, her left wrist was swollen and deformed with limited range of motion due to pain. X-rays showed a closed fracture of the distal end of the left radius bone. The conference discussed classifying and treating distal radius fractures, including options for closed treatment with casting or surgical treatment with pins or plates. The plan for this patient was closed reduction of the wrist, application of a long arm cast, follow-up in one week, and home pain medication.
Galeazzi fracture
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- She underwent an open reduction and internal fixation procedure to stabilize the radius fracture and distal radioulnar joint.
Tharinee anterior-hip-dislocation
1. A 9-year-old boy presented to the emergency room with a dislocated right hip after falling from a height of about 2 meters while trying to jump onto a basketball hoop.
2. Physical examination revealed an anterior dislocation of the right hip with external rotation, abduction and flexion.
3. The patient underwent closed reduction of the right hip dislocation under general anesthesia using traction and counter-traction maneuvers. Post-reduction x-rays confirmed an acceptable reduction with no fractures seen.
Extern conference
- A 45-year-old Thai man was in a motorcycle accident where he hit a wall with his right arm and was brought to the hospital.
- X-rays showed a transverse fracture of the distal third of the right radius and ulna with volar and ulnar displacement.
- The patient underwent closed reduction with a posterior long arm splint and will be referred to another hospital for open reduction and internal fixation with plates and screws.
Extern conference
This document summarizes the history, physical exam findings, imaging, diagnosis, and management of a 77-year-old Thai man who presented after falling from a table and bracing his fall with his right hand. He had pain, swelling, and deformity of his right wrist. X-rays showed a distal radius fracture. The fracture was reduced through hematoma block and closed manipulation, and a splint was applied. Distal radius fractures are common injuries that often result from falls on an outstretched hand and may require closed or open reduction depending on displacement.
Clavicle fracture
1. The patient is a 75-year-old Thai man who fell off his bicycle 6 hours prior, injuring his left elbow and clavicle.
2. Radiographs show a fracture of the left shaft of the clavicle.
3. Clavicle fractures are commonly classified using the Allman or Neer classifications to determine appropriate treatment. Non-displaced or stable fractures are typically treated non-operatively while displaced or unstable fractures often require surgical fixation.
Der case discussion - Ext RUJ
1. A 72-year-old Thai female presented to the emergency room after falling and injuring her left wrist two hours prior.
2. Physical examination revealed swelling, deformity, and limited range of motion of the left wrist. X-rays showed a distal end radius fracture and ulnar styloid fracture of the left wrist.
3. The patient was diagnosed with distal end radius and ulnar styloid fractures of the left wrist. She underwent closed reduction with long arm casting in the emergency room.
Externconference sirakit
- A 59-year-old Thai female presented to the emergency department with left wrist pain after falling on her outstretched left hand 4 hours prior.
- Physical examination revealed swelling and tenderness of the left wrist with limited range of motion due to pain. X-rays showed a left distal end radius fracture with an associated left ulnar styloid fracture.
- The patient was diagnosed with left distal radius and ulnar styloid fractures. She received sedation and closed reduction with application of a long arm splint.
Ortho conference
This orthopedic case conference discusses a 10-year-old Thai girl who injured her right forearm after falling while running and catching herself with her right hand. Physical examination revealed swelling and deformity of the right forearm with marked tenderness and limited range of motion due to pain. Radiographs showed a closed fracture of both bones in the right forearm. Initial management involved pain medication, closed reduction, and splinting, but closed reduction failed. Due to the failed closed reduction, surgery was planned to perform an open reduction and internal fixation with a plate and screws.
Slipped capital femoral epiphysis
This document discusses slipped capital femoral epiphysis (SCFE), a condition where the femoral head slips posteriorly and inferiorly through the growth plate. Key points:
- It typically affects obese adolescents age 10-14 and is more common in males.
- Risk factors include obesity, hormonal issues, and genetic factors.
- Radiographs can detect the slip and grade its severity.
- Treatment involves immediate non-weight bearing, and may include screw fixation, osteotomies, or epiphysiodesis with bone grafting to prevent further slippage.
- Complications can include avascular necrosis, chondrolysis, and residual deformity/osteoarthritis if
ConferenceExt.
- A 66-year-old Thai Buddhist woman presented to the hospital after falling and injuring her left wrist 2 hours prior.
- On examination, her left wrist was tender and swollen with limited range of motion due to pain. X-rays revealed a Fernandez type I fracture of the distal left radius.
- The diagnosis was a left distal radius fracture, which was managed with sedation, closed reduction, and application of a short arm cast.
Teleconference
This document contains a case summary for a 57-year-old Thai woman who slipped on a banana leaf and fell, twisting her right ankle. On physical examination, her right ankle was bruised, swollen, and painful to move. X-rays showed a bimalleolar fracture of the right ankle. The diagnosis was a right bimalleolar fracture, which was treated surgically with an open reduction and internal fixation using plates and screws. The document also reviews ankle fracture classifications, treatment indications, and orthopedic examination techniques.
Proximal femoral fractures
This document discusses proximal femoral fractures, including their anatomy, classification, treatment goals and options. It covers fractures of the femoral head, neck, intertrochanteric region and subtrochanteric area. Treatment depends on factors like patient age, fracture type/stability and involves methods like closed/open reduction and internal fixation or arthroplasty. Complications include nonunion, osteonecrosis and implant failure.
supracondyle fracture
- A 2-year-old boy fell from a 1 meter high chair and injured his right elbow. He was brought to the emergency room with pain and deformity of the right elbow.
- X-rays showed a Gartland type 3 right supracondylar fracture. The patient underwent closed reduction and percutaneous pinning of the fracture in the operating room.
- Supracondylar fractures are common in children aged 5-7 and usually result from a fall onto an outstretched hand. Treatment depends on the fracture type and stability, ranging from splinting to closed or open reduction and pinning. Complications can include nerve palsies, malunion, and compartment syndrome.
Closed fracture at the humeral shaft
This document discusses the case of a 41-year-old Thai woman who experienced a humerus shaft fracture after falling from a motorbike. On examination, she had deformity and swelling of the right forearm with an abrasion on the elbow but intact motor and sensory function. X-rays showed a fracture of the right humerus. The document summarizes treatment approaches for humerus shaft fractures, including non-operative management with a brace or operative fixation with plates or nails, depending on the fracture pattern and patient factors. Complications like radial nerve palsy are also addressed.
Ortho Rotation Case Presentation
A 7-year-old male fell from a slide and injured his right forearm. X-rays showed a Monteggia fracture dislocation of the proximal ulna with radial head displacement. This will require open reduction and internal fixation of the ulna fracture as well as closed reduction of the radial head dislocation. Post-operatively, the patient will need splinting, antibiotics, pain medication, and rehabilitation to regain full range of motion in the injured arm.
193 akila
This document presents a case study of a 61-year-old male electrician who injured his right hand in a motorcycle accident. He has limited extension of his right 4th and 5th fingers. On examination, deformities and swelling were observed in the 4th and 5th fingers. Range of motion was restricted in the fingers but normal elsewhere. Tests indicated a boutonniere deformity in the 4th and 5th fingers. The physiotherapy diagnosis was decreased range of motion, joint mobility, and muscle performance in the fingers. The treatment plan focuses on pain management, maintaining joint and tendon mobility, increasing range of motion and muscle strength through various exercises over several weeks. Progress will be measured by monitoring range of motion
Case discussion ortho jeen
This document discusses the case of a 6-year-old Thai boy who fell from a half-meter height at school, landing on his outstretched right arm and elbow. On examination, he had swelling and deformity of the right elbow with limited range of motion due to pain. X-rays revealed a Gartland Type III closed supracondylar fracture of the left humerus. The boy underwent closed reduction with pinning under fluoroscopy and was placed in a posterior long arm slab for 4 weeks. Supracondylar fractures are common elbow fractures in children aged 5-10 years old and usually result from a fall onto an outstretched hand.
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More from Toey Sutisa
Acinjury chitphisut-chennisata
- The patient is a 38-year-old Thai man who was in a motorcycle accident while intoxicated. He hit a footpath and was thrown from the motorcycle, landing on his right shoulder on the road without a helmet.
- On examination, he had pain and limited movement in his right shoulder. Imaging showed a grade V injury of the right acromioclavicular joint with disruption of the acromioclavicular and coracoclavicular ligaments.
- He underwent open reduction and internal fixation surgery with tightrope fixation of the right acromioclavicular joint.
Nearly amputation extern conference
This document describes the case of a 13-year-old Thai boy who was in a motorcycle accident, resulting in a near amputation of his left index finger. Upon initial examination, he was conscious and coherent with a laceration on his left eyebrow and active bleeding from his injured left index finger. X-rays showed no fractures. He was referred to another hospital, where he underwent surgery to close the stump of his amputated left index finger. The document then provides definitions, classifications, and management guidelines for traumatic finger amputations.
Extern.con.anklefx.chaipat
- 17-year-old Thai female presented to the hospital with right ankle pain and swelling after twisting her ankle 3 hours prior while playing football.
- Physical examination revealed swelling and tenderness of the right ankle which was held in plantarflexion. X-rays showed a bimalleolar fracture of the right ankle.
- Bimalleolar fractures involve fractures of both the medial and lateral malleoli. Non-displaced fractures are typically treated conservatively with immobilization while displaced or unstable fractures require open reduction and internal fixation surgery followed by non-weightbearing and rehabilitation.
Ext.conference..
1. An 82-year-old Thai man presented to the emergency room with right knee pain for 3 hours after tripping and falling on his right knee.
2. Examination found marked swelling and tenderness of the right knee with a palpable patella defect and joint effusion. X-rays showed a closed comminuted fracture of the right patella.
3. The patient was diagnosed with a closed comminuted fracture of the right patella. His treatment plan included immobilization with a cylindrical slab and observation for compartment syndrome, with plans for open reduction and internal fixation using a tension band construct.
Ortho con
1) A 14-year-old boy was in a motorcycle accident where his left hip hit the ground, causing left hip pain and deformity.
2) Examination and x-rays revealed a posterior dislocation of the left hip.
3) The patient was taken to the operating room for closed reduction of the hip dislocation under general anesthesia with skeletal traction.
Patella fx
This patient is a 34-year-old Thai man who presented with knee pain and swelling after falling and hitting his right knee 3 days ago. On examination, his right knee was tender and swollen with limited range of motion due to pain. X-rays showed a patella fracture. Patella fractures typically occur from direct impact or forceful knee flexion against the contracted quadriceps muscle. Treatment depends on the fracture pattern and degree of displacement, ranging from immobilization to surgery to repair the extensor mechanism or address displaced fragments.
Septic arthritis
A 61-year-old Thai woman presented with left knee pain and fever for 2 days. She had a known diabetic ulcer on her left foot. On examination, she had swelling and tenderness around her left ankle with redness and warmth. Joint fluid analysis found white blood cells of 54,000/ml with 92% polymorphonuclear cells and gram-positive cocci. She was diagnosed with septic arthritis of the left knee and taken to the operating room for arthrotomy and antibiotics.
Posteriorhipdislocation
This document summarizes the case of a 41-year-old man who was in a car accident where he hit a tree with his console but did not hit his head. He reported right hip pain after the accident and could not walk or move his right leg. On examination, he had marked tenderness over his right hip with limited and painful range of motion. He was taken to the OR for closed reduction of a posterior hip dislocation under general anesthesia. Potential complications of posterior hip dislocations include osteonecrosis, osteoarthritis, and sciatic nerve injury.
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Caseortho ext.bodin
- 1. Case Conference Ext. Bodin Chokdamrongsuk 4/8/2017
- 2. Case History •ผู้ป่วยเด็กชายไทย 8 ปี ภูมิลาเนา อ.จักราช จ.นครราชสีมา •CC : ปวดแขนขวา 1 hr. •PI : 1 hr. ขณะเล่นโหนเสา พลาดล้ม แขนขวากระแทกพื้น มีอาการปวด แขนขวา แขนขวาบวม ผิดรูป ไม่มีบาดแผลภายนอก ไม่ชา ไม่อ่อนแรง •PH : - ปฎิเสธประวัติโรคประจาตัว - ปฎิเสธประวัติแพ้ยา แพ้อาหาร - ปฎิเสธประวัติรับประทานยาประจา
- 3. Physical Examination • A-B-C-D-E : ok • V/S - BT : 36 c - BP : 126/70 mmHg - RR : 20 /min - PR : 110 bpm • Effected part : Rt. Forearm defomity, sweling , marked tender. Limit ROM of Rt. elbow, no external bleeding, neurovascular intacted. Full ROM of Rt. thumb
- 5. Investigation •Film Rt. Forearm AP, Lat. •Film Rt. Elbow AP, Lat. •Rt. Proximal ulnar fracture with radial head dislocation.
- 8. •Dx : Monteggia fracture Rt. forearm (proximal 1/3 ulnar fracture with associated radial head dislocation/instability)
- 12. Epidemiology - rare in adults - more common in children with peak incidence between 4 and 10 years of age
- 13. Presentation •Pain and swelling at elbow joint •Limit ROM due to dislocation •PIN neuropathy - Radial deviation of hand with wrist extension - Weakness of thumb extension - Weakness of MCP extension
- 15. Type 1 •Fracture ulna with anterior dislocation of the radial head (most common in children and young adults) •Direct blow to post. aspect of elbow
- 16. Type 2 •Fracture ulna with posterior dislocation of the radial head (70 to 80% of adult Monteggia fractures) •Longitudinal direction force on partially flexed elbow
- 17. Type 3 •Fracture ulna with lateral dislocation of the radial head •Varus stress on extended elbow
- 18. Type 4 •Fracture ulna with anterior dislocation of the radial head with radial shaft fracture. •Poorly understood but presumed to be similar to Type 1
- 19. Treatment - Pediatric patient •Non-operative • Closed reduction of ulna and radial head dislocation and long arm casting - Indication : Bado type 1-3 - Type 1,3 : immobilize in 110° of flexion and full supination - Type 2 : immobilize in 70° of flexion and full supination
- 20. •Operative • plating of ulna + reduction of radial head ± annular ligament repair/reconstruction - Indication : 1. Bado Types I-III with - radial head is not stable following reduction - ulnar length is not stable (unable to maintain ulnar length) 2. Acute Bado Type IV 3. Open fractures
- 21. Treatment in adult patient •ORIF of ulna shaft fracture ± open reduction of radial head
- 22. Complication •PIN or radial nerve palsy from anterior displacement of radial head - spontaneous recovery is usual •Non-union of fracture of ulnar shaft •Mal-union of fracture of ulnar shaft •Recurrent radial head dislocation •Myositis ossificans