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HPI: Patient presents with a grossly deformed right upper extremity. PE: Gross deformity of humerus, no open fracture. Unable to extend wrist. Unable to hyper-extend MP joints of fingers and unable to flex IP joint of thumb. Radial and ulnar pulses intact. IMAGING: Multi-factorial fracture along the mid third of humerus along the expected course of the radial nerve. DISPO (if at free standing ED): Transfer patient to ED with on-call orthopedics for definitive fixation. Reduce and splint prior to transfer. TREATMENT: Nonoperative managment. Splinted and cast at bedside. Follow radial nerve palsy clinically for improvement. 
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Orthopedics Blog
AuthorCMC ER Residents Archives
June 2018
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