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Answer 27 April 2020 Assignment
Answer 27 April 2020 Assignment
19 years old lady, history of traffic accident 6 hours before admitted to hospital. From
physical examination : swelling(+), no wounds.
Question:
1. How you describe the Xray completely?
2. What is your diagnosis?
3. How you manage this patient?
4. What are the potential complications of this injury?
Answers:
Q1
1. X-Ray qualifications :
o AP and lateral X-rays of the right forearm are performed.
o Patient identification is present.
o Bone structure is good.
o 2 joints is present in the X-Ray.
2. Structure and bone trabeculae : No abnormality on Radius bone, Ulnar bone and wrist
Joint and elbow.
3. Soft tissues : Swelling of soft tissues, No dislocation on wrist and
elbow joints.
4. Fracture
o Region : Middle 1/3 of both ulnar and radial bone
o Type of Fracture : Closed Non-Displaced Transverse Fracture
on the right radius. Closed Non-Displaced oblique
fracture on the right ulnar bone.
o Alignment : Good
o Angulation : (-)
o Position : Radius
Q2
Diagnosis: Closed Transverse Fracture on the 1/3 middle right radius and Oblique Fracture
on the right ulnar bone.
Q3
Management :
Pharmacology : Give IV Analgesic
Non-Pharmacology : Do a temporary Forearm Splinting, educate patient about
surgery, Refer to Orthopedic Specialist for surgical management as soon as
possible.
Q4
Potential Complications
Complex Regional Pain Syndrome
Malunion
Infection
Tendon Complication
Compartment syndrome
Neurovascular injury