Homework Help | What type of fracture would you expect to see in each patient and why?

Patient A) J.B. is an 18-year old who is seen in the emergency room for an ankle broken while playing basketball. The skin is broken and bone is visible.
Patient B) K.S. is 4 years old and has a fractured ulna she sustained falling off the monkey bars at the park.

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Answer these questions about the patients you selected:

What type of fracture would you expect to see in each patient and why?

How do the two injuries differ? Include underlying pathophysiology and/or age related considerations.

Describe what you would expect to find when assessing the injuries and what symptoms the patient would report.

Discuss the similarities and differences in the healing process for the two patients you have chosen.

MODEL ANSWER

Bone Fractures and Age

Patient A, the 18-year-old with broken ankle shows signs of lateral | PLACE YOUR ORDER NOW AT writtask.com | of fracture occurs in the lower part of the fibula, the knobby bump outside the | PLACE YOUR ORDER NOW AT writtask.com | the bone is visible it can be assumed to be the outermost one that has been fractured.

Patient B is a 4-year-old and the kind of fracture portrayed in this case is the eponym monteggia fracture that occurs from a fall on an outstretched | PLACE YOUR ORDER NOW AT writtask.com | of fracture occurs when the ulna and head of the radius gets dislocated at the elbow joint

When assessing both of these injuries, patient A would show signs of pain and swelling on the | PLACE YOUR ORDER NOW AT writtask.com | becomes intense when the patient puts pressure on the affected leg (Sudario & Hana, 2020). Patient B, on the other hand, would portray signs of pain and swelling.

For both of these injuries, cast may be required for | PLACE YOUR ORDER NOW AT writtask.com | and follow-up checkups are often done | PLACE YOUR ORDER NOW AT writtask.com | injury, weight lifting and bearing is not allowed while for the lateral malleolus fracture protective devices can be used such as walking boots to allow a patient make use of | PLACE YOUR ORDER NOW AT writtask.com | of these injuries may require surgical treatment depending on the extent of the injury.

Most of the monteggia injuries are seen in children below 10 years due to their weak bones, while lateral malleolus fracture is often experienced by older people whose bones are stronger and more developed.

References

In Oestern, H.-J., In Trentz, O., & In Uranues, S. (2014). Bone and joint injuries: Trauma surgery III.

Iobst, C., & Frick, S. L. (Eds.). (2019). Pediatric Orthopedic Trauma Case Atlas. Springer International Publishing.

Sudario, G., & Hana, G. (2020). Fracture Detectives: A Fracture Review Match Game. Journal of Education and Teaching in Emergency Medicine, 5(1).

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