October 29, 2009

物因case 4

THERAPEUTIC ULTRASOUND

Background:

An eighteen year old college freshman sustained a fracture of the fifth metacarpal of the left hand during a prank in the dormitory. The fracture required gauntlet cast immobilization for six weeks. At the time of cast removal the patient noted significant restriction of motion and weakness in the left wrist. A referral was initiated. Physical examination revealed flexion 0 to 45 degrees, extension 0 to 30 degrees with radial and ulnar deviation unaffected. There was point tenderness at the callus site on the shaft of the fifth metacarpal. Finger motion was grossly within normal limits at all constituent joints.

 

Impression:

Wrist capsule motion restriction secondary to immobilization, muscular weakness  secondary to immobilization.

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