Elective List Presentation

Team A
Thursday
04-05-2023
Case Summary

Total cases:10
Major Cases:5
Minor Cases:5
Operated Major:3
Non Operated:2
 CASE NO 1
 MR #: 11105-32426357-2
 Patient Name:Zaheer
 Father Name: Nazeer
 Age: 43Y/M
 Gender:Male
 Address:Lahore
 Phone#: 03438445829
 DOA: 24-05-2023
 Team: A
 MOA: ER
 NON-MLC
 Presenting Complaint

Pain and swelling Lt knee-----10 days

Unable to bear weight on Lt leg -----10 days
 HOPI
My pt normotensive normoglycemic
Labourer by profession was in USOH 10 days ago
when he Had RTA bike vs bike,presented in ER
and admitted to ward
Pain
was sudden in onset, moderate to severe,sharp
and continous ,non radiating, non shifting
Was aggravated by movementse and partially
relieved e rest and analgesics
Associated With moderate swelling of Lt knee
Backslab was applied in ER
EXAMINATION
 LOOK.
 No skin changes,or previous surgical scar mark Over Lt
knee present
 FEEL.
 There is deep tenderness present over Lt knee
 temp is normal,
 sensations are normal
 Vessles are palpable
 MOVE
 ROM cann’t be assessed due to pain
Pre-op x-ray
Diagnosis and Treatment
 Diagnosis :
 Close fracture Left proximal tibia SCH 1

 Treatment:
 ORIF e PT-LCP
Post-op x-ray
 CASE NO 2
 MR #: 11105-32426357-2
 Patient Name: Dr Manal
 Father Name: Iqrar Ahmad
 Age: 23Y/F
 Gender: Female
 Address: Lahore
 Phone#: 03438445829
 DOA: 02-05-2023
 Team: A
 MOA: OPD
 NON-MLC
 Presenting Complaint.

Pain RT shoulder……………..2 months

Painful ROM at RT shoulder……2 months
 History of Presenting Complaint
My pt Normotensive normoglycemic Student by profession
was in USOH 2 months ago when she developed Pain and
difficulty in overhead ROM at RT shoulder.Pain was gradual
in onset, mild to moderate in intensity, Sharp in character,on
and off more aggravated by shoulder movements and partially
relieved by rest and medication, associated with difficult and
painful ROM especially overhead abduction.Pt had branchial
plexus injury since birth due to which she Was already
suffering from weakness in Rt hand grip,combing hair and
Fully flexing the forearm which Had been significantly
improved by physiotherapy
 No history of fits
 No history of electric shock
 No history of RTA
 Examination
 LOOK.
 Rt upper limb is in flexion, adduction,internal rotation and
pronation
 There is prominent swelling on Posterolateral aspect of RT shoulder, no
scar mark ,striae or sign of infection over Rt shoulder
 obvious RT sided deltoid wasting present
 FEEL.
 There is prominent bony hard swelling present over posterolateral aspect
of RT shoulder
 There is no superficial But deep tenderness present over Rt acromion
and along the joint line
temp is normal,
sensations are normal
 Special tests

 Anterior draw…. Negative

 Apprehension test…negative
 Sulcus sign…………. Negative
 Hawkin test…………. Negative
 Belly press test………. Negative
 Gerber lift off test……negative
 Load shift test….. Negative
Pre-op x-ray
Pre-op CT Rt shoulder
 Per-Op pics

 Overhanging acromion with

bristo in subacromial space
 Posterolateral spike impinging the
rotator cuff,causing pain
 Remaining acromion process after
resection of overhanging portion
 Resected portion of acromion
 Yellowish white subacromial bursa
 Diagnosis and treatment

 Diagnosis :
 Overhanging RT acromion process

 Treatment :
 Partial Rt Acromion recession
Post-op x-ray
 CASE No 3
 MR #: 11105-32436958-2
 Patient Name:Nasreen
 Husband Name: Gul khatab
 Age:62Y
 Gender: Female
 Address: Lahore
 Phone#: 03094871488
 DOA: 26-04-2023
 Team: A
 MOA: ER
 NON-MLC
 Presenting Complaint
 Pain And swelling Rt leg -------------10 days
 Unable to bear weight on rt leg -----10 days
 HOPI
 My pt Normotensive normoglycemic is a ward
admitted case for last 10 days.She was in USOH
20 days ago when she had RTA bike vs Paedestrian
leading to pain and swelling RT Leg
 Pain was sudden in onset, moderate to severe in
intensity Sharp in character continuous non
radiating non shifting was associated with mild
swelling of Rt leg hip.she presented in ER and
back slab was applied
 EXAMINATION
 Skin around rt leg is intact
 No scar mark, striae or pulsations present over rt leg
 Mild Swelling was present Around rt leg
 mild tenderness was present around RT leg on deep
palpation
 DNVS of both lower Limbs was Intact
 ROM can’t be assessed due to Pain and fracture
Diagnosis and treatment

Diagnosis:
close wedge fracture RT SOT/F(42A2)

Treatment:
CRIF e IM/IL Nail
C-Arm pics
Post-op x-ray
Thank you