Ulnar bone fracture physical examination: Difference between revisions
Jump to navigation
Jump to search
(Created page with "__NOTOC__ {{Ulnar bone fracture}} {{CMG}}; {{AE}}Mohammadmain Rezazadehsaatlou[2]. ==Overview== The Nondisplaced diaphyseal fractures of the shafts of ulna...") |
No edit summary |
||
| (3 intermediate revisions by the same user not shown) | |||
| Line 5: | Line 5: | ||
==Overview== | ==Overview== | ||
The Nondisplaced diaphyseal fractures of the shafts of ulna is rare, and its deformity is often obvious, with the patient supporting the deformed and injured limb with the other hand. Also, the orthopedic surgeon should consider a careful neurological evaluation of the motor and sensory functions of the radial, median, and ulnar nerves. The Ulnar Bone Fractures might be very painful, causing difficulties in moving the arm or elbow | The Nondisplaced diaphyseal fractures of the shafts of ulna is rare, and its deformity is often obvious, with the patient supporting the deformed and injured limb with the other hand. Also, the orthopedic surgeon should consider a careful neurological evaluation of the motor and sensory functions of the radial, median, and ulnar nerves. The Ulnar Bone Fractures might be very painful, causing difficulties in moving the arm or elbow. | ||
== Ulnar Bone Fracture Physical Exam == | == Ulnar Bone Fracture Physical Exam == | ||
The related signs and symptoms include<ref name=" | The related signs and symptoms include<ref name="pmid30332871">{{cite journal |vauthors=He HY, Zhang JZ, Wang XW, Liu Z |title=[Acumed intramedullary nail for the treatment of adult diaphyseal both-bone forearm fractures] |language=Chinese |journal=Zhongguo Gu Shang |volume=31 |issue=9 |pages=803–807 |date=September 2018 |pmid=30332871 |doi=10.3969/j.issn.1003-0034.2018.09.005 |url=}}</ref><ref name="pmid27707565">{{cite journal |vauthors=Casagrande DJ, Morris RP, Carayannopoulos NL, Buford WL |title=Relationship Between Ulnar Variance, Cortical Bone Density, and Load to Failure in the Distal Radius at the Typical Site of Fracture Initiation |journal=J Hand Surg Am |volume=41 |issue=12 |pages=e461–e468 |date=December 2016 |pmid=27707565 |doi=10.1016/j.jhsa.2016.08.021 |url=}}</ref>: | ||
* Edema of the forearm | * Edema of the forearm | ||
**Most of the time the edema will be a non-pitting edema | **Most of the time the edema will be a non-pitting edema | ||
| Line 19: | Line 19: | ||
* Deformity | * Deformity | ||
** Fractured bone deformity may be touchable in the internal side of the forearm if the fracture is displaced | ** Fractured bone deformity may be touchable in the internal side of the forearm if the fracture is displaced | ||
In the physical exam the orthopedic surgeon should check the vascular status and amount of swelling in the forearm. In polytrauma patients or in comatose or obtunded patients a tense compartment with neurological signs or stretch pain should be considered as the [[compartment syndrome]], and the compartment pressures should be measured and monitored. | In the physical exam the orthopedic surgeon should check the vascular status and amount of swelling in the forearm. In polytrauma patients or in comatose or obtunded patients a tense compartment with neurological signs or stretch pain should be considered as the [[compartment syndrome]], and the compartment pressures should be measured and monitored. | ||
Physical examination of patients with [[Ulnar bone fracture]] is usually remarkable for [[swelling]], [[tenderness]], [[Bruise|bruises]], [[ecchymosis]], [[deformity]] and restricted [[range of motion]] of the [[wrist]]. | |||
===Appearance of the Patient=== | |||
* Patients with [[Ulnar bone fracture]] usually appears normal unless the patients had a high energy trauma causing the open wound fracture. | |||
===Vital Signs=== | |||
* [[Pulse|Weak pulse]] may be seen when associated with [[polytrauma]]. | |||
* [[Hypotension|Low blood pressure]] with normal [[pulse pressure]] may be present due to [[compound fracture]] with [[Bleeding|blood loss]]. | |||
===Skin=== | |||
* Skin examination of patients with Ulnar bone fracture includes: | |||
** [[Bruise|Bruises]] | |||
** [[Ecchymosis]] | |||
===HEENT=== | |||
* HEENT examination of patients with [[Ulnar bone fracture]] is usually normal. | |||
===Neck=== | |||
* Neck examination of patients with [[Ulnar bone fracture]] is normal. | |||
===Lungs=== | |||
* Pulmonary examination of patients with [[Ulnar bone fracture]] is usually normal. | |||
===Heart=== | |||
* Cardiovascular examination of patients with [[Ulnar bone fracture]] is usually normal. | |||
===Abdomen=== | |||
* Abdominal examination of patients with [[Ulnar bone fracture]] is usually normal. | |||
===Back=== | |||
* Back examination of patients with [[Ulnar bone fracture]] is usually normal. | |||
===Genitourinary=== | |||
* Genitourinary examination of patients with [[Ulnar bone fracture]] is usually normal. | |||
===Neuromuscular=== | |||
* Neuromuscular examination of patients with [[Ulnar bone fracture]] is usually normal. | |||
* However, some patients may develop [[neuropraxia]] of the [[branch of the Ulnar nerve]] resulting in decreased sensation of thumb, index and middle finger. | |||
== References == | == References == | ||
Latest revision as of 00:20, 17 January 2019
|
Ulnar bone fracture Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Ulnar bone fracture physical examination On the Web |
|
American Roentgen Ray Society Images of Ulnar bone fracture physical examination |
|
Risk calculators and risk factors for Ulnar bone fracture physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].
Overview
The Nondisplaced diaphyseal fractures of the shafts of ulna is rare, and its deformity is often obvious, with the patient supporting the deformed and injured limb with the other hand. Also, the orthopedic surgeon should consider a careful neurological evaluation of the motor and sensory functions of the radial, median, and ulnar nerves. The Ulnar Bone Fractures might be very painful, causing difficulties in moving the arm or elbow.
Ulnar Bone Fracture Physical Exam
The related signs and symptoms include[1][2]:
- Edema of the forearm
- Most of the time the edema will be a non-pitting edema
- Depends on the edema extent, it may even lead to compartment syndrome in the anterior and internal compartment of forearm
- Bruising
- As a manifestation of internal injury to the local vessels by trauma or fractures bone
- Decrease in range of motion
- Movement of the fractures limb will be painful if possible at all
- Tenderness
- Deformity
- Fractured bone deformity may be touchable in the internal side of the forearm if the fracture is displaced
In the physical exam the orthopedic surgeon should check the vascular status and amount of swelling in the forearm. In polytrauma patients or in comatose or obtunded patients a tense compartment with neurological signs or stretch pain should be considered as the compartment syndrome, and the compartment pressures should be measured and monitored.
Physical examination of patients with Ulnar bone fracture is usually remarkable for swelling, tenderness, bruises, ecchymosis, deformity and restricted range of motion of the wrist.
Appearance of the Patient
- Patients with Ulnar bone fracture usually appears normal unless the patients had a high energy trauma causing the open wound fracture.
Vital Signs
- Weak pulse may be seen when associated with polytrauma.
- Low blood pressure with normal pulse pressure may be present due to compound fracture with blood loss.
Skin
- Skin examination of patients with Ulnar bone fracture includes:
HEENT
- HEENT examination of patients with Ulnar bone fracture is usually normal.
Neck
- Neck examination of patients with Ulnar bone fracture is normal.
Lungs
- Pulmonary examination of patients with Ulnar bone fracture is usually normal.
Heart
- Cardiovascular examination of patients with Ulnar bone fracture is usually normal.
Abdomen
- Abdominal examination of patients with Ulnar bone fracture is usually normal.
Back
- Back examination of patients with Ulnar bone fracture is usually normal.
Genitourinary
- Genitourinary examination of patients with Ulnar bone fracture is usually normal.
Neuromuscular
- Neuromuscular examination of patients with Ulnar bone fracture is usually normal.
- However, some patients may develop neuropraxia of the branch of the Ulnar nerve resulting in decreased sensation of thumb, index and middle finger.
References
- ↑ He HY, Zhang JZ, Wang XW, Liu Z (September 2018). "[Acumed intramedullary nail for the treatment of adult diaphyseal both-bone forearm fractures]". Zhongguo Gu Shang (in Chinese). 31 (9): 803–807. doi:10.3969/j.issn.1003-0034.2018.09.005. PMID 30332871.
- ↑ Casagrande DJ, Morris RP, Carayannopoulos NL, Buford WL (December 2016). "Relationship Between Ulnar Variance, Cortical Bone Density, and Load to Failure in the Distal Radius at the Typical Site of Fracture Initiation". J Hand Surg Am. 41 (12): e461–e468. doi:10.1016/j.jhsa.2016.08.021. PMID 27707565.