Monday, March 23, 2009

Identification data- severe left forearm pain together with deformity

A 75 year old postmenopausal lady presented to Casualty with severe left forearm pain together with deformity. She gave history of falling down while she was having a shower at home.

You are shown a radiograph of the patient's hand.

(a) Name the deformity shown in the radiograph

Dinner fork deformity

(b) State the name of this fracture

Colles fracture.. (zass snappp prappp.. aku x tau pun)

(c) State TWO(2) possible complications that might occur in this patient
  • Nerve injury
  • Vessel injury
  • Malunion
(d) Outline the general principles of management of the fracture
  • Reduction
  • Hold
  • Immobilization
"Allah Taala saja Berkuasa.. Makhluk LANGSUNG xde kuasa.. siapa makhluk?? Selain Allah, SEMUA makhluk..."

p/s: macam nak meletup dengar jawapan2 macam ini... ish3xx.. aku xde gambar promotion eh jack,, nnt aku carikan..


Ibnu Shaukani on March 23, 2009 at 11:36 AM said...

betui ka modi x tau? pelik..slalunya modi la source of info..sekecik2 maklumat sume die tau..kan gg? =P

jade said...

reverse colles is also known as Smith fracture.. beza de cume anterior displacement.. bnde ni common kat budak2 (lam PBL ade kn..) =)

Anonymous said...

definition of colles fracture from keith moore's: complete transverse fracture of distal 02cm of radius.

>>>normally radial styloid process projects farther distally than ulnar styloid process>>>colles fracture>>>the relationship reversed(shortening of radius)>>>dinner/silver fork deformity.

distal frangment displaced dorsally.(in smith fracture; ventrally).
often ulnar styloid process broken off also.

bony reunion usually gud due to rich blood supply to distal end of radius.

yup, colles(dorsiflex)commoner than smith (dorsiextend).

Ibnu Abas on March 24, 2009 at 6:04 PM said...

thanx to anonymous and jade..


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