Clavicle Fracture |
- Pain and tenderness over the clavicle
- Visible deformity or bump at the fracture site
- Limited shoulder movement
- Crepitus on palpation
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- Clinical examination (palpation reveals tenderness and deformity)
- X-ray (anteroposterior and cephalic tilt views of the clavicle)
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- Sling or figure-of-eight brace for immobilization
- Surgical fixation for displaced or comminuted fractures
- Physical therapy once healed to restore range of motion
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Proximal Humerus Fracture |
- Pain and swelling around the shoulder
- Limited shoulder movement
- Bruising and tenderness over the upper arm
- Possible nerve injury (e.g., axillary nerve)
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- X-ray of the shoulder (AP and lateral views)
- CT scan if fracture is complex or for surgical planning
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- Non-operative: Sling immobilization and early passive range of motion exercises
- Operative: Open reduction and internal fixation (ORIF) for displaced fractures
- Physical therapy to restore function after healing
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Humeral Shaft Fracture |
- Pain and swelling along the humerus
- Deformity or angulation of the arm
- Radial nerve palsy (wrist drop) in some cases
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- X-ray of the humerus (AP and lateral views)
- Neurological examination for radial nerve function
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- Non-operative: Functional bracing or splinting for most fractures
- Surgical: ORIF or intramedullary nailing for open fractures or nerve involvement
- Physical therapy to restore range of motion and strength
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Distal Radius Fracture (Colles’ Fracture) |
- Pain and swelling over the distal forearm
- Visible deformity (“dinner fork” appearance)
- Limited wrist movement
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- X-ray of the wrist (AP and lateral views)
- CT scan for complex fractures
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- Closed reduction and casting for non-displaced fractures
- Surgical fixation (ORIF) for displaced or unstable fractures
- Physical therapy to restore wrist function
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Scaphoid Fracture |
- Pain and tenderness in the anatomical snuffbox
- Swelling on the radial side of the wrist
- Decreased grip strength
- Limited wrist movement
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- X-ray of the wrist (including scaphoid view)
- CT or MRI if initial X-ray is negative but clinical suspicion is high
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- Immobilization in a thumb spica cast for non-displaced fractures
- Surgical fixation for displaced fractures
- Close monitoring to prevent avascular necrosis
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Olecranon Fracture |
- Pain and swelling over the posterior elbow
- Inability to fully extend the elbow
- Palpable deformity or gap at the fracture site
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- X-ray of the elbow (AP and lateral views)
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- Non-displaced fractures: Splinting with early range of motion exercises
- Displaced fractures: Surgical ORIF
- Physical therapy for functional recovery
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