BOXER’S FRACTURE
According to Mosby’s Dictionary, a Boxer’s Fracture is defined by a break in one or two of the metacarpal bones, usually the fourth or fifth. This type of fracture is usually caused by punching a hard object. The fracture is most often distal, angulated, and impacted.
INITIAL VIST: MEDICAL HISTORY
The patient was an 18 year old Caucasian male. He arrived at Chatham Orthopaedic Clinic during the evening trauma clinic with his father on 14 March, 2014. His Chief Complaint was his left hand was hurting and swollen. He stated that the incident happened on 13 March, 2014. He stated that he was playing baseball and he fell over another player. When he removed his glove the pain worsened and his coach of the baseball team proceeded to realign what he thought was a jammed finger. The small finger was rotated and under the ring finger. He did not have much pain unless there was any physical activity with the finger.
DIAGNOSTIC IMAGING
Images of the left hand were taken in the PA, Oblique, and Lateral projections by the Student Radiographer with assistance from the Radiologic Technologist and reviewed by the Physician. Not all three views of the images were attached to this case study. The presence of a fracture in the left fifth metacarpal neck was present with dorsal rotation in the PA and Oblique images only. The patient was able to fully participate in the imaging process without any further complaints. There were no further diagnostic procedures, including lab work, done on this evening.
PHYSICIAN’S ASSISTANT EXAMINATION
The Physician Assistant reported that the patient showed the presence of diffused swelling and tenderness to the dorsal ulnar aspect of the hand. She indicated full motion of the digits, as we...
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...atients at 81 percent. The left hand was affected less with 32 patients at 76 percent. It was suggested that younger patients recovered and had better range of movement in two weeks, whereas, it took longer for adults. Full recovery should be seen in the majority of patients in two months’ time. The healing process takes into consideration of the patient’s age and their health conditions. The bones in a younger patient heal faster than older patients.
In conclusion, the case study performed at Chatham Orthopaedic clinic is consistent with the research shown in the article by the Archives of Emergency Medicine. The Boxer’s fracture is a fairly common fracture in being at least 20 percent of hand fractures and is fairly easy to recover from. The patient at the Chatham Orthopaedic Clinic showed statistical signs of a Boxer’s fracture and the recovery process to date.
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
Background. Dorrence Darling II, at eighteen years old student who broke his right leg playing college football. Darling II was taken to the emergency room at Charleston Community Memorial Hospital for medical attention and treatment. Charleston Community Memeorial Hospital was a “rural, fifty-bed hospital in downstate Illinois” (Weit, p.399). Dr. John R. Alexander, the emergency room physician, treated Dorrence by applying traction and placing his leg in a cast. Shortly after the cast dried, “Dorrence began experiencing pain in his toes, which became swollen and discolored and later cold and insensitive. On several occasions thereafter, Alexander made slight modifications to the cast including
Intra articular fractures of calcaneus occurs following eccentric loading of the talus on the calcaneus.(fig 5.1) The severity, type and location of fracture are determined by the position of the foot, the direction and magnitude of applied force and quality of bone 49.
The anatomy of the knee contains the femur, tibia and the patella. There are four main ligaments within the knee. Those ligaments are called medial collateral (mcl), lateral collateral (lcl), anterior cruciate (acl) and posterior cruciate (pcl). The anterior cruciate ligament (acl) is in the middle of the knee and prevents the shin from sliding. An anterior cruciate ligament tear is the most common harmed ligament, undergoing an estimate of 200,000 happenings yearly. Typically individuals who play sports such as football, basketball, skiing or soccer experience this injury.
Tae Kwon Do is a Korean, unarmed martial art and is best known for its kicks (Park, 2001). The roundhouse kick is a turning kick and happens to be the most commonly used kick during competition (Lee, 1996). For this reason, the roundhouse kick will be analyzed in reference to sparring competition.
On January 1st, 2016 Travis Jonathan Miller fell down the stairs in his apartment building, injuring his his right hand and ankle. The medical report revealed that the injuries included a sprained wrist and ankle, and a fracture in the intermediate phalanx of the right digitus minimus, commonly known as the “pinky” or “little finger.” The fractured finger required a splint. The sprains that resulted from the injury only required ice, and anti-inflammatories for treatment. (Med. Exam. Report). During the client interview Mr. Miller claimed that he did not have any prior medical conditions that would provoke a fall. As well he provided some information that was not included in the medical report. The incident occurred at ten in the morning when he was carrying his laundry downstairs. While carrying his laundry his right foot slipped, as he fell he reached for the railing which was not there and he suffered a five foot fall which resulted in his injuries. Despite the doctor’s recommendation of waiting two weeks before applying pressure to the finger he was not able to return to work for four weeks. In addition to the four weeks of missed work Mr. Miller missed two
Pittman is an 18-year-old patient who is seen at the medical clinic today in regard of follow up with his left knee pain. The patient states that in the past he had surgery for his left knee. He also seen the physical therapist in regard of left knee strain in 08/2016. Patient said that the last three days he admitted that he was playing sports with high impact and he also fell down and landed on his left kneecap. Patient noticed that he has pain in the medial aspect. The pain is local which he rated approximately like 5/10 pain level. Patient states he takes three tablets of pain medication twice daily, which resolved the pain. Patient also reports that he was fitted with ankle brace. He also have some sort of restriction and no recreational restriction for two weeks due to his pain. Patient denied any numbness or tingling, unable to weight bear. He denied any severe pain. He denied any red flag symptoms. He said that he can ambulate without assistance. He only has mild swelling over there but he stated when he fell down then he noticed that there was more swelling, but he stated compared
Matthew R. Potter, Ashley J. Snyder, Gary A. Smith, Boxing Injuries Presenting to U.S. Emergency Departments, 1990–2008, American Journal of Preventive Medicine, Volume 40, Issue 4, April 2011, Pages 462-467, ISSN 0749-3797, 10.1016/j.amepre.2010.12.018.(http://www.sciencedirect.com/science/article/pii/S0749379711000341)
Sports Medicine is a medical field that specializes with physical fitness, treatment and prevention of injuries related to sports and exercise. It was introduced around the early Greek and Roman era when the first modern Olympic Games took place. The Greek felt they could do something to help heal and prevent injuries that the athletes were receiving. Now in sports medicine, certain injuries can only be assessed and treated by specific physicians. These physicians can include physical therapists, athletic trainers, and strength and conditioning coaches. Although sports physicians are most commonly seen by athletes after they are hurt so they can be treated, there are some physicians that are seen before an injury occurs so that they can learn how to prevent injuries.
All injuries are a serious matter, but upper body injuries are more delicate. “Although the majority of contusions to the most parts of the body result injuries that are self-correcting and without serious consequence, even relatively
These types of injuries do not happen alone typically they go along with a traumatic event such as a car collision, a fall, blunt force, anything that would have greater force than the bone itself causing a breakage. A fracture in the patella is no different, patients who experience such events are like to produce these signs and symptoms such as severe pain in and around the patella, swelling, difficulty extending their leg, deformed appearance of the knee due to fractured pieces, and tenderness. There are many different types of fractures and some have to do with anatomical location such as transverse (horizontally across), apex(at the highest point), and vertical or a complete breakage of the patella called a comminuted fracture. The signs and symptoms however remain the same for all if not most patellar fractures. Perhaps patients whom are experience pain in their knees could potentially be at risk for a type of injury but it is hard to determine without the proper knowledge of the risk
A hypothesis that can be made from the patient’s report is that she is suffering from cervical radiculopathy, or a nerve root lesion. Symptoms that describe cervical radiculopathy include: arm pain in a dermatome distribution, pain increased by extension, rotation, and/or side flexion, possible relief of pain from arm positioned overhead, affected sensation, altered hand function, no spasticity, and no change to gait or bowel and bladder function (Magee, 2008, p. 142). These symptoms correlate to what the patient reported as a result of her injury. She stated that her pain is in the posterolateral upper and lower arm with aching and paresthesia in the thumb and index finger, which is in the dermatome pattern of cervical root 5 and 6 (C5, C6) (Magee, 2008, p. 25). She also reports lancinating pain with extension or rotation to the right of her head.
The sheer energy of a gymnast alone can be felt by audiences of all ages, but what the spectators lack the ability to feel is the pounding of the bodies that bear the impact of the athletes in action. Gymnastics consists of a mixture of acrobatic performances of four different events for females, and six different events for males (Gianoulis 1). Gymnastics is demanding in a multitude of ways, including: physically, emotionally and mentally. It requires countless hours of dedication. The concerns of most gymnasts are moving up to the next level, or getting a more advanced skill, while the concerns of the doctors, coaches, and parents revolve mostly around the athlete’s health, which is put at stake for the adored yet dangerous sport. Injuries are common among both male and female gymnast alike, but due to the fact a female gymnast’s career peaks at the same time of major growth and development, a female gymnast’s body as a whole is more likely to undergo lifelong changes or affects (Gianoulis 2). Among the injuries of the mind blowing athletes, the most common ones affect the ankles, feet, lower back, wrist, and hands of individuals (Prevention and Treatment 1). From sprains, to the breaks, the intriguing sport of gymnastics is physically demanding on a gymnast’s body.
This is his first admission to the ward after having his second episode of the same pain. The first episode was 10 days prior to his admission. The first episode was relieved after taking pain killer at the clinic.
An ankle fracture is a break in one or more of the three bones that make up the ankle joint. The ankle joint is made up by the lower (distal) sections of your lower leg bones (tibia and fibula) along with a bone in your foot (talus). Depending on how bad the break is and if more than one ankle joint bone is broken, a cast or splint is used to protect and keep your injured bone from moving while it heals. Sometimes, surgery is required to help the fracture heal properly.