A 71 year old female patient, known to have HTN, uncontrolle | Figure 1
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A 71 year old female patient, known to have HTN, uncontrolled DM, obstructive sleep apnea, and osteoporosis, presented to ER with severe left shoulder and elbow pain post falling down from her bed on her left side of body two hours ago, on PE unable to move either her shoulder or elbow, severe tenderness over the region of proximal humerus, intact neuro and vascular exam.. What do you think is the best to manage such patient?
3 little monkeys were jumping on the bed, one fell off and bumped her arm. 4.5 y/o F, fall from bed into cement floor, landed on left elbow. Pt guarding elbow, limited movement of left arm. What do you see?
54 y/o WF who fell on her left shoulder at work. What pathology do you see? Surgery or no?
35 years old lady resulting injury to elbow after falling on flexed elbow. On arrival, marked swelling of left elbow, can't flex or extend elbow well due to tenderness. And on examination, bony tenderness present over radial head and ulnar proximal shaft. On x ray, such a poor fracture that made her enough to moaning. I discussed the patient about urgency of operation to reduce that dislocated radial head and need to fix the fractured ulna by some sort of plate. But patient reject the operation for many reasons. So I did the MUA under sedation and reduce and hold with POP Above elbow cast. What would be future management?
85 year old female patient, present with left shoulder pain post falling down on her left side.. best treatment choice?