List of long case: trauma

1. Polytrauma
2. Fracture neck of femur
3. Fracture trochanter
4. Fracture surgical neck of humerus
5. Implant failure
6. Nonunion tibia
7. Ankle injury
8. Condylar fracture of femur
9. Pathological fracture of femur
10.Frature shaft of femur
11.Subtrochanteric fracture
12.Tibial plateau frcture
13.Spinal fracture
14.Fracture shaft of humerus

Polytrauma:
What is polytrauma:
Is a clinical state following injury to body leading to profound physiometabolic
changes involving multiple system.
Criteria:
2 major system+1 major limb
Or 1 major system+2 major limb
Or 1 major system+1 open gustillo III skeletal injury
Or Unstable pelvic fracture +visceral injury

Fracture neck of femur

Present ur case:
Mrs hamida, 85 yrs housewife from noakhali admitted on 15.3.15 with the
complaints of
a. History of fall on ground 5 days back
b. Pain in right hip since then
History of present illness: according to the statement of the patient, she had
history of fall 05 days back. Subsequently, she developed pain at her rt hip
and she was unable to walk.

On examination:
Affected limb short and externally rotated.
LLD:
Galleazzi test
Briants triangle
Shoemaker line
Nelatons line
See notes made easy trauma

Fracture trochanter
Present ur case:
Mrs hamida, 85 yrs housewife from noakhali admitted on 15.3.15 with the
complaints of
a. History of fall on ground 5 days back
b. Pain in right hip since then
c. Unable to stand since then

On examination:
affected limb is shortened and externally rotated
Patient cant lift her affected limb.
There may be bruise of affected hip region

See notes made easy trauma

Fracture surgical neck of humerus:

Present ur case:
Mrs hamida, 55 yrs old housewife from noakhali admitted on 15.3.15 with
the complaints of

a. History of fall on outstretched arm 5 days back

b. Pain in right shoulder since then
c. Unable to move her rt shoulder since then
On exam, look- large bruise in upper part of arm
Feel-local temp-normal, tenderness-+ve, vascular status-normal
Axillary nerve-normal
Brachial plexus-normal
Move- ROM: restricted,
See notes made easy trauma

Implant failure:
Present ur case:

Mrs hamida, 55 yrs old housewife from noakhali admitted on 15.3.15 with
the complaints of
a.
b.
c.
d.

History of fall on ground 5 days back

Pain in right thigh since then
Unable to walk since then
History of interlocking intramedullary nail 05 yrs back.

On exam, look- rt lower limb-shortened, deformed

Feel-local temp-normal, tenderness-+ve, vascular status-normal
Move- ROM: restricted,
Neurological status-normal

See notes made easy trauma

Non union tibia
Present ur case

Mrs hamida, 55 yrs old housewife from noakhali admitted on 15.3.15 with
the complaints of
a. History of fracture distal tibia following RTA 09 months back

b. Unable to walk on her lt lower limb since then

On exam, look- Lt lower limb-shortened, deformed

Feel-local temp-normal, tenderness--ve, vascular status-normal
Move- abnormal mobility at fracture site.
Neurological status-normal
X ray-gap
Bone on either side exuberant callus or atropy
Bone end rounded
Sclerosis of margin
Obliteration of medullary cavity

Ankle injury
Present ur case

Present ur case:
Mrs hamida, 85 yrs housewife from noakhali admitted on 15.3.15 with the
complaints of
a. History of fall on ground 5 days back
b. Severe pain in rt ankle and inability to stand since then

On examination:
Ankle is swollen
Deformity is obvious
Tender in medial and lateral side of ankle
Inv: 3 view
A-P view:
Lateral view: for fibular fracture

300 oblique mortise view: diastasis\

CONDYLAR FRACTURE OF FEMUR

Present ur case:
Mrs hamida, 85 yrs housewife from noakhali admitted on 15.3.15 with the
complaints of
a. History of fall on ground 5 days back
b. Pain around right knee since then
History of present illness: according to the statement of the patient, she had
history of fall 05 days back. Subsequently, she developed pain at her rt knee
and she was unable to walk since then.
On examination:
Look: rt knee-swollen
Blister may be present
Feel: local temp
Tender
Distal neurovascular status
Distal neurovascular status
Xray: knee, hip and shaft
PATHOLOGICAL FRACTURE OF FEMUR

Present ur case:
Mrs hamida, 85 yrs housewife from noakhali admitted on 15.3.15 with the
complaints of
a. History of fall on ground 5 days back
b. Pain around right knee since then
History of present illness: according to the statement of the patient, she had
history of fall 05 days back. Subsequently, she developed pain at her rt knee
and she was unable to walk since then.

She was suffering from thyroid problem for last 05 yrs. She had occasional
pain around rt knee for last 02 months
On examination:
Look: rt knee-swollen
Blister may be present
Feel: local temp
Tender
Distal neurovascular status
Distal neurovascular status
Xray: knee, hip and shaft

Frature shaft of femur

Mrs hamida, 55 yrs old housewife from noakhali admitted on 15.3.15 with
the complaints of
a. History of RTA 5 days back
b. Pain in rt thigh and inability to walk since then
On exam, look- rt thigh is tender, swollen and deformed
Feel-local temp-normal, tenderness-+ve,
neurovascular status-norma
Move- was not elicited due to pain