Orthopedic case study 1 part 1  

Posted by: Faiz Nordin


 







Mr. MU 27 year’s old Indonesian gentleman complaint of:

1.      Pain on the right lower shin for one year

2.      Deformity of the lower shin for one year

This patient was involved in mva one year ago, he had fracture on the right femur and was treated with internal fixation, and he also has tibia fibula fracture and was treated with external fixation for 1 month and 2 month on full length pop. Since he had this injury he still has pain on the right leg...

What further history that you should ask this patient?

please desribe the deformity based on the picture above ?




               





There are two longitudinal surgical scar on the medial and lateral right leg , what is the name of operation for the surgical scar and what are the indication ?

What are the investigation that u need to order for this patient.

i will show the x-ray finding  next week  ,,,, pls solve this questions


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11 comments

1. Was there any fever? Was there any discharge from anywhere?

2. apparently there is evidence of limb discrepancy. and there is evidence of genu varus (btol ker)

3. owh... they are probably scars for faschiotomy.

4. Limb x-ray. FBC.. blood culture?

errmm.susah gak kes ni paih!

jawapan aku sama ngan awie..
ko tiru aku eh awie?hehehe

eh awie x jawab soalan indication or dat surgery..indication nya adalah px with compartment syndrome

aku pon ortho jugak...

malasnya nak jawab...

aku pon byk amik pic patient leh al buat macam ni..untuk di kongsi bersama..huhu..

my dear friend ....
the answer that u give is very good , however ; needs further improvement ...

before i give the answer ... i would like to ask a few question to all the student who answer this question...

what is the possible diagnosis for this patient ... and give ur reason


thank you reading and answering this question...

faiz, next week rayo la... xkan ko nak post x-ray die mase rayo...

i know the answ la bro..
coz dats my Cp...(",)..
should i or shouldnt i tell da answ..??

....:)

errmmm... im gettin confused ni. my diagnoses:

1. Implant failure
2. Osteomyelitis (tp history x lengkap sgt)


tu jer la kot yg aku dpt pikiaq dlm masa terdekat ni.. tmbh lagi raya dah dekatzzzzz..

this patient is completely well ..no fever ,no discharge at affected area ,no,,no accept
he has pain on the right shin , and deformity

ikin,apa jawapan dia.huhuhu

aku rasa patient ni ada non union disebabkn poor mobilization due to internal fixation... sekrang ni presented with pseudo arthrosis at distal tibia... tp x sure la athropic or hyperthropic non union,kena tgk x ray dulu... yg scar tu aku stuju disebbkn fasciotomy due to compaartment syndrome...

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