HPI - patient had sustained a fracture femur after fall from height 1year 2 mths ago. after which he was operated with locking nailing.
operative managemnt or conservative
HPI - 77 year old female presents with L arm pain after sustaining a fall down stairs. Community ambulator at baseline.
What is the best form of definitive management for these fractures?
HPI - Now is in my theater with this intermaterial fracture. What do you think abaut?
What is the treatament you would choice?
HPI - She felt a crack supporting her arm on a table
How would you treat it?
HPI - He is pain free. With cubitus valgus and full range of motion.
How would you treat this pathology?
HPI - Patient sustained a closed Fx R/U after road traffic accident 1 year back
How could this be treated?
HPI - Fall on 18th Sept
How would one treat this fracture ?
HPI - pain& deformity of right ankle since 3 months,varus deformity increses on weight bearing,h/o underwent conservative treatment for 5 weeks by below knee cast,after removal of cast,instability&deformity persists,pt under went orif with reconplate & screw fixation to right ankle, after 6 weeks post operative,pt c/o rt ankle deformity,
what is the choice of treatment?
HPI - 26 yr old Male with hx of traumatic dislocation in high school. Had open Bankart repair 10 yrs ago. Did well until this year had snowboarding injury and dislocated. Rehabbed for a few months but dislocated again while playing softball.
Continued to with rehab but does have recurrent instability.
MRI and CT show large anterior inferior bony Bankart fragment.
Question is revision Bankart repair (open vs arthroscopic) or think about bony procedure such as LaterJet?
How would you manage this patient?
HPI - inability to stand after a fall at home.pain in the left hip
What would be your preferred treatment plan
HPI - Gradual increase in pain since 8 years
what is the most appropriate treatment
HPI - 35 yo RHD f presenting after a mechanical fall while intoxicated
How would you treat this patient?
HPI - trauma to lt elbow in childhood.
no treatment was given
no pain, neurological symptoms
How would you choose to treat this patient?
HPI - 14 year old 6'2" male presented with a closed tibial shaft fracture on 9/12/13 and no other injuries. Of note his father is 6'1".
How would you treat this injury?
HPI - MCA , closed fracture ...presented to our hosbital after 1,5 m
How would u manage this case?
HPI - falling from hight ....operated since 5 mounth ....partial wieght bearing with pain
How would you manage this tibia nonunion?
HPI - falling from height since 2 mounth....comatosed for 3 w .....partial loss of memory
How would you manage this fracture?
HPI - falling from hieght
operated since 4,5 mounth
no visible callus and thereis a gap
How would you manage this femoral nonunion
HPI - Fell from the 4th floor onto her leg.
How would you manage this infected tibial nonunion.
HPI - pain right shoulder for two weeks duration..dull aching increased with carrying heavy objects.non radiating..relieved with NSAIDS..bowel bladder habit normal...no hx of fever in the past...developmental milestones normal..
what is your diagnosis???
HPI - This 15 year old Afgani boy walked into our clinic complaining about significant hip pain.
Is a proximal femoral corrective osteotomy likely to be successful in this case?
What is the best approach to the abductors?
HPI - 8 months history of left hip pain. pain started in Winter this year and has improved in severity recently.
What is the most likely diagnosis?
HPI - pain rt hip since 3 months.with pain on walking
What would be your treatment choice for this patient?
HPI - Communited/segmental subtrochanteric femur fracture, treated by by closed reduction and internal fixation with trochanteric reconstruction nail. Patient has been non weight bearing
What would be your next treatment choice for this segmental subtrochanteric femur fracture
HPI - 2008 ORIF of previous trimalleolar ankle fracture
2009 Hardware removal + arthroscopic microfracture
What would be your next line of treatment for this patient?
HPI - Patient presented 3 months after injury with a painful and stiff knee joint. The patient was initially treated with immobilization after suffering from tibial spine avulsion. At three months the cast was removed and patient was put in physiotherapy. Now 6 months after injury patient has full range of motion, no instability, however he continues to have mild pain at night after increased activity.
What should be the treatment for this injury at this time?
HPI - SImple Fall in nursing home patient
How would you treat this fracture
HPI - Pt has a road traffic accident 4 months back when he fractured his shaft femur and was operated for the fracture In another hospital .6 weeks post op when pt was stated weight bearing he had pain in hip .pain was more on weight baring.
How would you currently treat this patient (4 months after his initial presentation)
HPI - H/O fall 6 months back leading to injury right kee joint.patient is having recurent episodes of knee giving way with painful episodes
what is best treatment optionin 15.5 year old
HPI - no h/o fever, trauma, joint swelling
what is most likely diagnosis and treatment option
HPI - patient noticed it when sound became more audible more 4 ms
HPI - RTA
How would you treat this peri-trochanteric hip fracture
HPI - this 4 yrs F is a known case of DDH diagnosed at age of walking ( 14 months old) & was treated 3 times by open reduction only & failed
what are the lines of management?
HPI - Pain in thigh,unable to bear weight,no signs of any infection
What would be your preferred method of treatment for this nonunion?
HPI - A 80-year-old male presented with a h/o fall with forearm fracture 40 days ago that was treated at an outside hospital with POP casting. He now presents with pain and deformity of the left (non-dominant) forearm.
What would be your next step in treatment for this patient?
HPI - Open wound 35 days ago , left untreated.
Immediately , blind antibiotic therapy was started ( Augmentin 1gr X 2 + Clindamycin 300mg X 2 ) per os.
Before deciding treatment, what other imaging would you obtain
HPI - Pt complains of pain on standing and on knee flexion
HPI - fall from height bilateral calcaneus fracture
(bilateral calcaneal fracture, but discussion for left)
What is your preferred treament?
HPI - 60 year old male, household ambulator previously, confined to the bed for past 2 years, complained of pain in his right hip when he sat on a chair.
How would you manage this patient ?
HPI - IT # on 23.6.13 , operated else where on 25.6.13 and discharged after 5 days.post op xray was satisfactory.came to me on 5.7.13 for pain ipsilateral knee for 3 days.physio knee had been done 3 days ago.o/e knee effusion was seen.xray was taken.
What next? Reasons for fracture?
HPI - Patient with previous left femur fracture secondary to a gunshot. Patient involved in an MVA with isolated left hip pain
What would be your preferred treatment for this patient?
HPI - pain in both knees since years.2 surgeries done for rt knee.2years ago he had a TKR done in his home country which failed miserably.following that he was walking with crutches.6 mths ago he had another surgery which involved removal of implant with spacer.
no details of any of the surgeries.now he has come to us.
HPI - Insidious onset of neck pain and painful movement since 2 weeks.
HPI - Pain with mobilization following delivery
HPI - Patient presented with anterior dislocation right shoulder joint
Closed reduction done same day .post reduction Xray satisfactory
Serial Xray show inferior sublaxation increasing
MRI shoulder done at 3 weeks shows posterior sublaxation and rotator cuff tear
HPI - motor cycle
How would you treat this fracture?
HPI - Fall on the ground
HPI - Fall from standing height 3 months ago
What is the treatment?
HPI - Transfer from a peripheral unit with slab with the history of Motorcycle crash with another motorcycle,about 70km/h each.
painful swelling of R/knee and unable to walk.
No other significant injury.
Best treatment option
HPI - falling down
how to manage?