tag:blogger.com,1999:blog-8607120517331919186.post2902241910412998488..comments2010-11-30T16:08:05.307+03:30Comments on My Blue Scrub: The Laughing Trauma PatientArash Safaiehttp://www.blogger.com/profile/07164509339794375755noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-8607120517331919186.post-64680058066317481672010-07-20T02:48:12.053+04:302010-07-20T02:48:12.053+04:30so no dislocation.so no dislocation.Arash Safaiehttps://www.blogger.com/profile/07164509339794375755noreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-67795381692994773392010-07-19T19:46:01.569+04:302010-07-19T19:46:01.569+04:30so no dislocation?so no dislocation?mehrnaznoreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-51964463756874283912010-07-17T03:43:36.798+04:302010-07-17T03:43:36.798+04:30Diagnosis is:
Bilateral greater tuberosity fx of h...Diagnosis is:<br />Bilateral greater tuberosity fx of humerus without any dislocation.<br />With regards to less than 1 cm displacement and less than 45 degree angulation it may treated conservatively with shoulder sling.<br />But as there is bilateral injury it maybe preferable to consult orthopedic surgeon.Arash Safaiehttps://www.blogger.com/profile/07164509339794375755noreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-52069240177346344632010-07-14T02:03:02.964+04:302010-07-14T02:03:02.964+04:30Well I agree with the tuberosity fracture, but I&#...Well I agree with the tuberosity fracture, but I'm not sure about the dislocation; may be the cause of the displacement of the humerus is unopposed force of the deltoid muscle.<br />Considering the management, I would ask for an orthopedic consultation, for I think it would need a surgical repair.N Mnoreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-18992480660864891712010-07-10T19:18:03.006+04:302010-07-10T19:18:03.006+04:30Any other idea? What's the problem? What's...Any other idea? What's the problem? What's the management?Arash Safaiehttps://www.blogger.com/profile/07164509339794375755noreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-35852239631135654562010-07-09T12:46:03.531+04:302010-07-09T12:46:03.531+04:30what's the Dx then,dr?
the head of the humerus...what's the Dx then,dr?<br />the head of the humerus is also compressed against the glenoid rim, isn't it?<br />my mind is obsessed by these X-rays!mehrnaznoreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-86266880117252450862010-07-08T19:11:22.737+04:302010-07-08T19:11:22.737+04:30u r not right
and I did not learn anything about x...u r not right<br />and I did not learn anything about xray reading in orthopedic rotation, it is mandatory for us.Arash Safaiehttps://www.blogger.com/profile/07164509339794375755noreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-53307418575297214672010-07-08T17:50:22.382+04:302010-07-08T17:50:22.382+04:30is it correct,dr? please tell us the answeris it correct,dr? please tell us the answermehrnaznoreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-37841669934428153482010-07-08T17:39:59.672+04:302010-07-08T17:39:59.672+04:30oops! I think I was completely wrong, now that I w...oops! I think I was completely wrong, now that I watch the x-rays more carefully I think it can be ant. dislocation( the humerus head inf. to the coracoid process) with fx of the greater tuberority.just imagine what would happen if I were to manage this patient! ;0 I didn't pass orthopaedics rotation, it was optional, so I have lots of difficulty interpreting x-raysmehrnaznoreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-4584401666414222482010-07-07T16:29:21.161+04:302010-07-07T16:29:21.161+04:30any other comment?
any plan?any other comment?<br />any plan?Arash Safaiehttps://www.blogger.com/profile/07164509339794375755noreply@blogger.comtag:blogger.com,1999:blog-8607120517331919186.post-8550075071767448932010-07-07T13:01:31.851+04:302010-07-07T13:01:31.851+04:30I think it's compressed fx of humeral neck and...I think it's compressed fx of humeral neck and posterior dislocation of shoulder on both sides.mehrnaznoreply@blogger.com