Rx is conservative. RxOpen reduction and internal fixation. If closed reduction fails open reduction by means of k wires; If open reduction fails k wire sutures; If a sling is used sling can be removed.
Rx is conservative. RxOpen reduction and internal fixation. If closed reduction fails open reduction by means of k wires; If open reduction fails k wire sutures; If a sling is used sling can be removed.
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Rx is conservative. RxOpen reduction and internal fixation. If closed reduction fails open reduction by means of k wires; If open reduction fails k wire sutures; If a sling is used sling can be removed.
Direitos autorais:
Attribution Non-Commercial (BY-NC)
Formatos disponíveis
Baixe no formato DOC, PDF, TXT ou leia online no Scribd
No. Location Mode Of Injury Immobilization Mobilization Comments
1. # of head of humerus(Impacted) Sudden blow on For 4-6 weeks. POP. Gentle mobilization. For Rx is conservative. shoulder Isometrics of deltoid, pain- TENS, SWD, triceps, biceps. Active Laser pendular exercises exercise for mobilized flex, extension, joints wrist and fingers. abduction, adduction. If patient is in sling- releasing the sling rom exercises. Shoulder wheel exercises. Finger ladder. Overhead pulley. Wand exercises. Dumbels, resisted exercises. 2. # of head of humerus(Unimpacted) Sudden blow on For 4-6 weeks. POP. Gentle mobilization. For Rx- Open reduction shoulder Isometrics of deltoid, pain- TENS, SWD, and internal fixation. triceps, biceps. Active Laser pendular exercises exercise for mobilized flex, extension, joints wrist and fingers. abduction, adduction. If patient is in sling- releasing the sling rom exercises. Shoulder wheel exercises. Finger ladder. Overhead pulley. Wand exercises. Dumbels, resisted exercises. 3. # of shaft of humerus( Transverse #) 6-8 weeks. Pendular exercises, Complications- shoulder mobilization, Radial nerve injury shoulder wheel 4. # of shaft of humerus( Spiral #) 3-4 weeks Pendular exercises, Complications- shoulder mobilization, Radial Nerve Injury shoulder wheel 5. Supracondyler # Direct- fall on tip of Manupulation under Graded mobilization. Extension #- bony elbow. general anaesthasia. Pain- wax, TENS, frag. Displaced Indirect- fall on Extension injuries- Hotpacks. posteriorly. outstretched hand. elbow is flexed. Flexion #- Anterior Flexion injuries- elbow displacement of bony is extended frag. Elbow in flexion by slab If closed reduction and POP fails open reduction Wrist and finger by means of k wires; movements are given. k-wires can be For 3-4 weeks removed after 3 weeks and mobilization can be done. Vigorous movts at the elbow is initially avoided. Massage is avoided to prevent myositis ossificans. Indications of open reduction: Closed reduction fails. Injury to brachial artery. Injury to associated nerve