4. • ii. They most often occur in the weight-bearing bones of the lower limbs. TIBIAL PLATEAU • 40% occur following fracture of the shaft of the tibia (with an incidence of 1-10%) ... Fixation with bone graft is needed in case of atrophic non union. In this report we present a case of an unusual presentation of a Schatzker 5 tibial plateau fracture, which was later managed, successfully, without operative intervention. • No discharges • NECK AND THROAT • Lips are pink but dry. We report a rare case of proximal fibular fatigue fracture developing 14 years after total knee arthroplasty in a known case of rheumatoid arthritis. Patients and method Our case series consists of 6 patients with Schatzker types I-III tibial plateau fractures, treated in the Orthopedic and Traumatology Clinic of Cluj-Napoca from July 2012 to August 2014. case. • metaphysis receives its blood from anastomosis around the ankle joint. Flexor hallucislongus. This can result in severe consequences and requires emergency surgery once it is diagnosed. Spiral fracture: • This type of fracture is caused by a twisting force. By :- Dr. Pankaj Rathore. After weeks in the cast, it can be replaced with a functional brace made of plastic and fasteners. dr nadia shafique. Treatment Nonsurgical Treatment Nonsurgical treatment may be recommended for patients who: • Are poor surgical candidates due to their overall health problems • Are less active, so are better able to tolerate small degrees of angulation or differences in leg length • Have closed fractures with only two major bone fragments and little displacement • Initial treatment. 4. B.Shaft of tibia: • shaft of tibia is triangular in cross section. A tibial shaft fracture is a common trauma, especially amongst young and middle-age people. BLOOD SUPPLY TO TIBIA Proximal end receives its blood supply form metaphyseal vessels, which arise from genicular arterial anastomosis.Nutrient foramen of tibia usually lies near the soleal line. Take Home Points. It is larger and stronger of the two bones of leg, i.e. Radiograph was done later. 2 This may can lead to articular cartilage injury and long-term problems with mobility. Transverse fracture: • This type of fracture has a horizontal fracture line. case presentation on tibial fracture prepared by remya vishwambaran emergency room . Provide appropriate skin care to prevent pressure sores.10. This case presentation illustrates how a Lisfranc injury was properly diagnosed in a 59-year-old male. • Teach symptoms needing attention such as numbness,decreasedfunction,increasedpain,elevated temperature. • Medial Malleolus: • It is a strong pyramidal process prolonged from the distal end of the tibia medially.It ends proximal to the lateral malleolus, which is also more posterior. Proximal end of tibia: • The proximal end of tibia is expanded and is a bearing surface for weight of the body, which is transmitted through femur. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. • Your doctor may initially apply a splint to provide comfort and support. dan preece dpm pgy-2 09/07/2010. Case presentation] | Accidents currently rank first among causes of complex lower limb injuries. Stress fractures are common injuries in sports medicine. Case Discussion. a study performed by msf team in amman project to treat iraqi victims of violence, Osteoporotic Fracture- presentation - . AND . demographic data • name : mr.s.k.r • age/sex : 40yrs/male • ip no : 196279 • date of admission : 09/02/13 • complaints : multiple lacerated wounds in rt leg,pain in rt wrist,tenderness over lt knee • diagnosis : comminuted tibial shaft fracture • discharged on :30/12/12 This is a case of pediatric open tibia and fibular fracture. 2. Displaying talus fracture PowerPoint Presentations Calcaneal/talar Fracture Trauma Case Study PPT Presentation Summary : Arial Lucida Sans Book Antiqua Wingdings 2 Wingdings Wingdings 3 Calibri Apex 1_Apex Calcaneal/Talar Fracture Trauma Case Study What happens when you don’t The current most popular form of surgical treatment for tibial fractures is imnailing. Complications of fractures presentation.ppt ... e.g. • Surfaces: • The surfaces of tibial shaft are named as: anteromedial surface, posterior surface and lateral surface • C .Distal end of Tibia: • Distal end is slightly expanded and has 5 surfaces namely anterior, medial, posterior, lateral and distal • The distal end of tibia is rotated laterally, an effect known as tibial torsion. dr. s. bhattacharjee radiation oncologist hcg bangalore. This case presentation is of a patient who suffered a traumatic knee dislocation of his right knee, with multiligament injury as well as tibial plateau fractures on both the medial and lateral sides.. flagyl 500mg iv bd • inj .amikacin 500mg iv bd • ANALGESICS • diclofenac 75mg im . Patient was diagnosed with comminuted fracture on tibial shaft rt leg. Approximately 15% of intra-articular fractures are radiographically occult, which may delay the diagnosis. Occasionally, they involve the shaft of the fibula as well. • Risk For Infection Due To open fracture. CT Scan (lumbosacralspine,lower extremity) 3.Blood investigations like • PT INR • SERUM ELECTROLYTES • RH TYPING and ABO • CBC. • Tenderness at site of fracture • Lower extremity appear shortened NEUROLOGIC • To Follow Commands. after fracture fixation) • The periosteal blood supply to the shaft arises from anterior tibial artery. A fracture is another word for a break. The muscles of the leg may be divided into three groups: anterior, posterior, and lateral. • AO defines tibial plateau as metaphysis to a distance equal to the width of the tibia at the joint line. The patient developed RA at the age of 55. Tibial plateau fractures remain challenging to manage, 31 yet recent evidence suggests that ORIF may provide a sufficiently stable fixation to permit immediate postoperative weight bearing, as tolerated by pain. We report a case of proximal tibiofibular dislocation associated with an ipsilateral tibial fracture, a rare association of injuries that can remain undiagnosed. • No tenderness of node. NAME : MR.S.K.R AGE/SEX : 40YRS/MALE, CASE PRESENTATION ON TIBIAL FRACTURE PREPARED BY REMYA VISHWAMBARAN EMERGENCY ROOM, DEMOGRAPHIC DATA • NAME : MR.S.K.R • AGE/SEX : 40YRS/MALE • IP NO : 196279 • DATE OF ADMISSION : 09/02/13 • COMPLAINTS : MULTIPLE LACERATED WOUNDS IN RT LEG,PAIN IN RT WRIST,TENDERNESS OVER LT KNEE • DIAGNOSIS : COMMINUTED TIBIAL SHAFT FRACTURE • DISCHARGED ON :30/12/12, PHYSICAL ASSESMENT GENERAL APPEARANCE • Patient was drowsy for several minutes • Unable to mobilize his rt lower extremity. Tibia particularly has poor remodeling ability, hence prone for later deformities. • Sports injuries, such as a fall while skiing or running into another player during soccer. The diagnosis of a tibia and fibula fracture is determined by clinical examination and imaging resources. Pelvic ring fractures are the most severe fracture type with two breaks in the circular pelvic ring, often leading to an unstable pelvis that can easily result in an unstable patient. Ankle fractures range from simple injuries of a single bone to complex ones involving multiple bones and ligaments. • Obvious deformity such as angulation or shortening (the legs are not the same length) • Breaks in the skin • Contusions (bruises) • Swelling • Bony prominences under the skin • Instability (some patients may retain a degree of stability if the fibula remains intact or the fracture is incomplete). Blockchain + AI + Crypto Economics Are We Creating a Code Tsunami? tibialis anterior. chief complain. To view Power Point presentations for download, click here. sudden onset pain in thoracic or lumbar spine minor trauma sometimes there is no, Fracture Penis: a Rare case report - . Additional notes and information are provided by many authors in the "meeting notes" section of the ppt… Anatomy • The tibial plateau is the proximal end of the tibia including the metaphyseal and epiphyseal regions as well as the articular surfaces made up of hyaline cartilage. • External fixation. The injury had occurred a week before I saw him, and he was referred to me as a tertiary referral for complex reconstruction because of my special interest in multiligament instability. Complications of fractures presentation.ppt ... e.g. He was taken to a local hospital and radiographic examination revealed a right-sided (open) complex distal femur fracture with bone loss and ipsilateral (open) mid-shaft tibia and fibula fracture. Among these fractures, femoral neck stress fractures frequently have a benign course, especially when it happens in the medial aspect of the neck. 6 Differential diagnosis includes fracture of the tibia, muscle sprain or contusion, periostitis, bur-sitis, medial tibial stress syndrome, and compartment syndrome. If you wish to opt out, please close your SlideShare account. Soleus. tibia. Looks like you’ve clipped this slide to already. The bone shatters into three or more pieces. MUSCULOSKELETAL • Unable To Mobilize His Lt Lower Limb. A valgus deformity of the knee can put abnormal stress on the upper fibula leading to its failure. overuse injury usually due to…. case presentation on tibial fracture prepared by remya vishwambaran emergency room . • www.sports injury .advice .com • Grays anatomy and physiology • Wikipedia, © 2020 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. However, the tibia is the most commonly implicated in runners. 17 yo, female 1 week history of polyuria, polydispsia, Case Presentation - . Title: proximal-tibia-fracture.indd Created Date: 11/6/2018 9:36:41 PM the hand, forearm, upper arm, abdomen, buttock, thigh, and leg. There is also a prominent tibialtuberosity • Condyles: • There are two condyles of tibia: medial and lateral. Oblique fracture. Fractures of tibia and fibula Tibial shaft fracture Most common long bone fractures Isolated tibial fracture 23 % Both tibia and fibular fractures 77 % 77 % ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3af237-MzEzM 12.Provide emotional support to client, explain all procedures to decrease anxiety and to obtain cooperation.13. Fractures of the tibia can also involve the tibial plateau, tibial tubercle, tibial eminence, proximal tibia, tibial shaft, and tibial plafond. You can change your ad preferences anytime. r.q. the hand, forearm, upper arm, abdomen, buttock, thigh, and leg. • Teach the importance of follow up care. No public clipboards found for this slide. The Anterior Crural Muscles  Tibialis anterior.Extensor digitorumlongus. We present a case of lunate fracture diagnosed which was diagnosed with cross sectional imaging. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Closed Fracture Tibia Fibula - Free download as Powerpoint Presentation (.ppt / .pptx), PDF File (.pdf), Text File (.txt) or view presentation slides online. Case Studies in Orthopedic Trauma Emergency Dept to Discharge Dorothy Christian, NP April 14, 2016 . See our Privacy Policy and User Agreement for details. demographic data • name : mr.s.k.r • age/sex : 40yrs/male • ip no : 196279 • date of admission : 09/02/13 • complaints : multiple lacerated wounds in rt leg,pain in rt wrist,tenderness over lt knee • diagnosis : comminuted tibial shaft fracture • discharged on :30/12/12 If you continue browsing the site, you agree to the use of cookies on this website. 61 y/o female married bicutan. 2-d analysis of flat plate divertor high stress areas, CASE PRESENTATION - . • Plates and screws These tools are reserved for fractures in which intramedullary nailing may not be possible or optimal, such as certain fractures that extend into either the knee or ankle joints. catalina ruiz mesa, md pl 1 sbh. subhash goyal , dr. s ankalp dwivedi , dr.mohinder kumar, dr. kunal chowdhary, Country Presentation on Case Management - . 이 o 연 , f/71 abnormality, Case Presentation - . The Deep Group  TheSuperficialGroup Gastrocnemius. • Oblique fracture: • This type of fracture has an angled pattern and is typically unstable. Prepare client and his family for surgical intervention if required 8.Observe for signs of thrombophlebitis, report immediately.9. initial presentation. The tibial plateau is one of the most critical load-bearing areas in the human body; fractures of the plateau affect knee alignment, stability, and motion. The most common types of femoral shaft fractures include: Transverse fracture. significant early ... syndrome both at PRESENTATION . • Distal tibia physeal fracture • Salter Harris II fracture of the distal left tibia with mild displacement • Fracture of the epiphyseal plate and fracture of the metaphysis • The fracture line extends into the metaphysis • Small piece of metaphysis can be seen as wedge … apr 2012 attending golf masters in america change in. Provide fracture fixation to prevent following injury of tissues.3. PREPARED BY REMYA VISHWAMBARAN EMERGENCY ROOM. Proximal Tibia Fracture Case courtesy of K. Shea. tibial plateau fractures and their management. Tibia particularly has poor remodeling ability, hence prone for later deformities. Complications • Sharp fragments may cut or tear adjacent muscles, nerves, or blood vessels. We present the case of an 80 year old woman with hip pain, caused by a longitudinal femoral insufficiency stress fracture, depicted with radiographs, CT and MR. Patient concerns: This case report discusses management in a 54-year-old woman who sustained fractures of the distal third of the left tibia and fibula, with damage to overlying soft tissue (swelling and blisters). This calls for regular follow-up imaging. • Closed fracture: • With this injury, the broken bones do not break the skin. dr . 2. 3. • Absence Of Dandruff. 6 Differential diagnosis includes fracture of the tibia, muscle sprain or contusion, periostitis, bur-sitis, medial tibial stress syndrome, and compartment syndrome. However, the tibia is the most commonly implicated in runners. Among these fractures, femoral neck stress fractures frequently have a benign course, especially when it happens in the medial aspect of the neck. This calls for regular follow-up imaging. • It is divided into a proximal smooth and a distal rough region. conclusion • A CASE OF RTA PATIENT WITH FRACTURE OF TIBIAL SHAFT WAS UNABLE TO MOVE HIS LEFT LOWER EXTREMITY. • Open fractures can result in long-term deep bony infection or osteomyelitis, although prevention of infection has improved dramatically over the past generation. TIBIAL PLATEAU • Tibial plateau is the proximal end of tibia including metaphyseal, epiphyseal regions as well as articular surfaces. • Cast and functional brace. Patient History • PRESENT MEDICAL HISTORY Patient was brought to E.R by REDCRESCENT ambulance after he was involved in R.T.A with complaints of : • MULTIPLE LACERATED WOUNDS IN Rt LEG,PAIN IN RT WRIST,TENDERNESS OVER LT KNEE. To view Power Point presentations for download, click here. SIGNS AND SYMPTOMS • Pain. The muscles of the leg may be divided into three groups. Isolated Fibula Fractures • Direct blow/impaction mechanism • Immobilize as needed for comfort only Its main role is to deepen the articular surface for ankle joint. We conducted a literature review and compared the findings with the present case. Learn more. A fracture is another word for a break. • Has Pain During Examination. CASE PRESENTATION - . The cross-section of tibia is triangular in shape. • Upon auscultation his Bp is 120/80mmof hg. The Utility of Semi-Extended Tibial Nailing Utilizing the Suprapatellar Approach in the Treatment of an Open Proximal Tibial Fracture With Vascular Injury Daniel N. Segina, MD and Ryan M. Wilson, PA-C, MPAS Summary: Fractures of the proximal tibia are technically difficult to surgically repair noting a high incidence of complications, • Excessive swelling may lead to compartment syndrome, a condition in which the swelling cuts off blood supply to the leg. • PATIENT HAD UNDERGONE EXTERNAL FIXATION OF TIBIA AND D FIBULA ON SAME DAY OF ADMISSION (09/02/13) AS AN INITIAL EMERGENCY CARE AND LATER HE HAD UNDERGONE IM NAILING OF TIBIA • PATIENT WAS DISCHARGED ON 24/02/13 • PATIENT WAS INSTRUCTED FOR FOLLOW-UP AFTER 2 WEEKS. • Occasional loss of feeling in the foot. • No neurovascular deficit. This case report describes a stress fracture of the medial aspect of the femoral neck that developed a complete fracture and underwent surgical fixation. In a stable fracture, the bones usually stay in place during healing. Approximately 15% of intra-articular fractures are radiographically occult, which may delay the diagnosis. CASE PRESENTATION - . Plantaris Popliteus. In this type of operation, metal pins or screws are placed into the bone above and below the fracture site. Download Citation | [Internal and external fixation for open tibial fracture. artery of the posterior fascial compartment of the leg the posterior tibial artery is one of, Non union tibial fracture in Iraq - . The fibula is often broken as well. Instruct client regarding fracture healing process, diagnostic procedures, treatment and its complications. The posterior pilon variant fracture pattern is an increasingly recognized fracture morphology characterized by posteromedial extension of the fracture of the posterior rim of the tibia including a portion of the medial malleolus with varying amounts of articular impaction of the tibial plafond. Antibiotic beads are pharmaceutical grade calcium sulphate loaded with antibiotics (here it was vancomycin). 41 yr old male high speed mva – 100 km/hr head on collision with, CASE PRESENTATION ON SUBARACHNOID HEMORRHAGE - . Both condyles are visible and palpable in living subjects.Lateral condyle has a fibular facet for attachment of fibula. prepared by: toni p teni staff nurse, icu department. Bibiliography • .Lippincott manual of nursing practices 9 th edition. Topics covered include: The skeleton; Open vs closed fractures; Signs and symptoms of fractures; First aid treatment of fractures; Arm slings; Lower limb fractures The injury had occurred a week before I saw him, and he was referred to me as a tertiary referral for complex reconstruction because of my special interest in multiligament instability. Additional notes and information are provided by many authors in the "meeting notes" section of the ppt, so users may wish to check there for further content. • One proven nonsurgical treatment method is to immobilize the fracture in a cast for initial healing. A 33-year-old male was involved in a high-speed motorcycle accident and sustained multiple open injuries. Case Discussion. We report a case of proximal tibiofibular dislocation associated with an ipsilateral tibial fracture, a rare association of injuries that can remain undiagnosed. 26 th ... R proximal tibia fracture & lateral tibial plateau fracture, with . carcinoma cervix stage ii b post, Posterior Tibial Artery - . 38 yrs old female gulshan diagnosed case of hcv related dcld (child class c) ctp, Case Presentation - . These types of fractures often require surgery to put the pieces back together. Extensor hallucislongus.Peronæustertius The Posterior Crural Muscles—The muscles of the back of the leg are subdivided two groups—superficial and deep. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Instructions for Use: The lectures have been compressed, for ease of download. Case Discussion. Patients and method Our case series consists of 6 patients with Schatzker types I-III tibial plateau fractures, treated in the Orthopedic and Traumatology Clinic of Cluj-Napoca from July 2012 to August 2014. The severity of the fracture usually depends on the amount of force that caused the break. View and Download PowerPoint Presentations on Tibial Plateau Fractures PPT. 1. • Teeth is properly aligned with no dentures. flexor digitoriuslongus ,tibialis posterior, ETIOLOGY • High-energy collisions, such as an automobile or motorcycle crash. • . As of this date, Scribd will manage your SlideShare account and any content you may have on SlideShare, and Scribd's General Terms of Use and Privacy Policy will apply. • PRESENTSURGICAL HISTORY • He underwent external fixation of tibia on the same day of admission as an emergency case • PAST MEDICAL AND SURGICAL HISTORY No past history, Investigations Done For The Patient 1.X-Ray skull ,chest ,hand and ankle 2. This trauma PowerPoint presentation covers fractures (broken bones). • Tenderness over rt ankle • Laceration on rt toes • Noted abrasions on rt lower limb. mr pr 58 year-old male. case. We report an exceptional radiographic presentation of bilateral insufficiency fractures of the proximal tibia in a 67 year old women with rheumatoid arthritis (RA). 71 y/o male brought in by ems very healthy 71 y/o skiing all day no problems c/o, Case Presentation - . In some cases, the only symptom of a small fracture is a pain in the shin while walking. The brace will provide protection and support until healing is complete. Tibial plateau fractures remain challenging to manage, 31 yet recent evidence suggests that ORIF may provide a sufficiently stable fixation to permit immediate postoperative weight bearing, as tolerated by pain. • The lateral surface of distal end contains the triangular fibular notch for attachemnt of fibula. This case report describes a stress fracture of the medial aspect of the femoral neck that developed a complete fracture and underwent surgical fixation. Spiral fractures can be displaced or stable, depending on how much force causes the fracture. He was taken to a local hospital and radiographic examination revealed a right-sided (open) complex distal femur fracture with bone loss and ipsilateral (open) mid-shaft tibia and fibula fracture. Pelvic ring fractures have the highest rate of major hemorrhage given the proximity of these fractures to prominent arteries and veins and the severity of the mechanism necessary for them to occur. They most often occur in the weight-bearing bones of the lower limbs. NURSING INTERVENTIONS 1.Provide emergency care if requires (hemostasis, respiratory care, prevention of shock).2. DEMOGRAPHIC DATA. Monitor fluids input and output continuously, insert IV catheter, urinary catheter. In more severe cases, the tibia bone may protrude through the skin. Get powerful tools for managing your contents. Tibial tuberosity - . They have a higher risk for complications and take a longer time to heal. extensor digitorum longus. • Comminuted fracture: • This type of fracture is very unstable. NORSHAHIDAH ZAINAL. APIdays Paris 2019 - Innovation @ scale, APIs as Digital Factories' New Machi... Mammalian Brain Chemistry Explains Everything. closed frx after fracture fixation) They are in Adobe PDF format. Pelvic ring fractures are the most severe fracture type with two breaks in the circular pelvic ring, often leading to an unstable pelvis that can easily result in an unstable patient. Observe and often improve with time, but may need guided growth surgical intervention if growth remaining . as nonunion, infection, and necrosis. • Encourage him to perform passive and active excercises. by mr. aung kyaw moe deputy director, mofa mr. kyaw win, Medial Tibial Stress Syndrome: A Case Study - . fibula. See our User Agreement and Privacy Policy. • Deformity or instability of the leg. VITAL SIGNS OF THE PATIENT ARE BP : 120/80 mm of hg PR :86/mt RR :16/mt SPO2 : 98%, SKIN • Skin is warm to touch. AFTER surgical treatment (i.e. We report a rare case of proximal fibular fatigue fracture developing 14 years after total knee arthroplasty in a known case of rheumatoid arthritis. Displaying talus fracture PowerPoint Presentations Calcaneal/talar Fracture Trauma Case Study PPT Presentation Summary : Arial Lucida Sans Book Antiqua Wingdings 2 Wingdings Wingdings 3 Calibri Apex 1_Apex Calcaneal/Talar Fracture Trauma Case Study What happens when you don’t • Encourage follow up medical supervision to monitor for union problems. Case presentation] | Accidents currently rank first among causes of complex lower limb injuries. Lunate fractures are rare, and most cases in the literature were reported almost exclusively before the era of computed tomography (CT) and magnetic resonance imaging (MRI). To the smooth part of tibialtuberosity attaches the patellar tendon. FRACTURES Administer IV therapanalgesics,antibiotics, and other medications as prescribed.7. Consequently, it consists of three borders and three surfaces. This case presentation is of a patient who suffered a traumatic knee dislocation of his right knee, with multiligament injury as well as tibial plateau fractures on both the medial and lateral sides.. This trauma PowerPoint presentation covers fractures (broken bones). NURSING HEALTH TEACHING • Encourage early ambulation by using crutches and wheel chair. Stress fractures or fatigue fractures are common overuse injuries that occur following repetitive bouts of mechanical loading to bones. by eeman abou bakr assistant lecturer of anaesthesia and intensive care. i. demographic, Case presentation - . Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Tibial Plateau Fractures PPT chief, Update on Fracture Analyses - . MRSA in Closed Fracture Mid-Shaft Femur 19 April 2007 Written by Housameddin Ghazzawi Hits: 11066 Hypothermia Causing Multi System Complications In Elderly Patient with Femur Neck Fracture 19 April 2007 Written by Housameddin Ghazzawi Hits: 20020 Knee Dislocation 29 July 2006 26 th ... R proximal tibia fracture & lateral tibial plateau fracture, with . • HEADAND NECK • Hair Is Equally Disrtibuted. • Encourage adequate balanced diet to promote bone and soft tissue healing. • AO defines tibial plateau as the metaphysis to a distal distance equal to the width of the proximal tibia at the joint line.