Name of the patient: Barizova Thathyana

Age : 61 years old

Sex : Female
Date of admission to hospital: 13.10.2013
History of accident :

Date and time of the accident : 13.10.2013

Location of accident : Home (Bathroom)
The mechanism of injury : Direct
First aid which was provided
to the patient before hospitalization:

Anesthesia; non narcotic-analgin (i.m)

Transport immobilization. Kramer's splint.
From the healthy left shoulder joint to right base of metacarpal.
The patient's complaints on admission :
Pain
Swelling
Redness
Increase temperature
Loss of function
Pathological movement of fragments
Crepitus
Deformation
Shortening of a clavicle
The results of patient’s physical examination on admission to hospital

The ability to walk : present. Without problem

Consciousness : satisfactory
Position of body : Forced posture
Facial appearance :No Pathology
Eyes: No Pathology
Oral mucosa : Moist & Pink
Condition of skin : Moist
Results of lungs auscultation : Symmetry resonant
Pulse (per min.) : 73 /min
RR : 18
BP : 110/80 mmhg
The length of the damaged segment : 3cm

The the
Condition local
axis of the damaged segment
status of
: Deviation occurs
patient on
admission
to hospital
The possibility of movement in joints of
damaged segment : Movement cause pain

The temperature of the skin of damaged

segment : Increase temperature
 Sensitivity of the damaged segment :  Decrease sensitivity

 The presence of the arterial pulsation at the damaged extremity : Present

 The presence of swelling of the damaged segment : Present

 Description of wound (if it is presented) location, configuration, size : Absent

 The
preliminary
diagnosis,
which was
Close fracture of the middle third diaphysis of clavicle(right side).
made on
the
admission
 Complete blood count

Hemoglobin : 117 g/dL

RBC : 3.85x 10*12 /l
Results of
laboratory, WBC :
radiology Neutrophil :
and another Bands :
(ultrasound,
Lymphocyte :
ECG, etc.)
Monocytes :
Eosinophil
CI : 0.9
Urinalysis

pH : Acidic
Volume : 110ml
Specific gravity : 1.010
Protein : -absent
Urea : 4mmol/l
 X -ray

• Right shoulder region

• AP view
• Close oblique fracture of
the middle third
diaphysis of
clavicle(right side). With
displacement. Without
complications
Close oblique fracture of the middle
third
Fulldiaphysis
clinical of clavicle(right
diagnosis
side). With displacement. Without
complications…..
 Plan of treatment

 Diet : 15 (normal)
 Regime : Hospital region
 Anesthesia : Novocain block
 Immobilization : Smirnov – Vanshtein bandage
a .pathological movements.
01.Closed
b .deformation.
fracture
of the of bone’s fragments.
c .appearance
clavicle
d .crepitus
absent,
e. Shortening of a clavicle
a .cold
02.What
areand
b .local theregional anesthesia
basic
c .narcotic
methodand of non narcotic analgesics
anesthesia
d .immobilization
?
e .all
 03.What is
a. Benet's
the wrongfracture
answer of
b. fracture
Roland'soffracture
1st
c. metacarpal
transverse facture of shaft
bone?
d. oblique fracture of shaft
e. spiral fracture of shaft
a. 04.What
malunionis
the wrong
b. Delayed
answer ofunion
sequelae
c.of
non-union
scaphoid
fracture ?
d. Avascular necrosis
e. Scaphoid non-union advanced
collapse
a .pathological movements.
05.What
b .deformation.
is the
general
c .loss of function
sign ?
d .crepitus
e. Shortening of a clavicle