Because Ms.C's history included hypertension,type 2 diabetes mellitus,and moderate chionic obstructive pulmonary diseate,the surgeon decided to perfrom aclosed reduction of the frachure in the ED.
Ms.C underwent moderate sedation and analgesia with midazolam and morphine. The surgeon placed Ms.C' right thumb,index,and middle fingeers into finger treps,keeping her elbow flexed at 90degrees and her forearm in neutral rotation.This allowed for downward traction using weights on the distal humerus for at least 5 minutes.prior to manual reduction. Traction helps the muscles to relax and the fracture fragments to separate,getting the radius to almost its prefracture length.
The postreduction radiographs revealed good alignrnent with about 5 dergrees of dorsal angulation.Her wristwas placed in a volar splint with elastic wrap , and she admitted to the general orthopedic unit for observation and pain managemant.
Because Ms.C's history included hypertension,type 2 diabetes mellitus,and moderate chionic obstructive pulmonary diseate,the surgeon decided to perfrom aclosed reduction of the frachure in the ED.Ms.C underwent moderate sedation and analgesia with midazolam and morphine. The surgeon placed Ms.C' right thumb,index,and middle fingeers into finger treps,keeping her elbow flexed at 90degrees and her forearm in neutral rotation.This allowed for downward traction using weights on the distal humerus for at least 5 minutes.prior to manual reduction. Traction helps the muscles to relax and the fracture fragments to separate,getting the radius to almost its prefracture length.The postreduction radiographs revealed good alignrnent with about 5 dergrees of dorsal angulation.Her wristwas placed in a volar splint with elastic wrap , and she admitted to the general orthopedic unit for observation and pain managemant.
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