Mrs. Norma Jean is a 65-year-old female. She was getting up to walk to the bathroom in the middle of the night when she tripped over a throw rug and fell onto an outstretched hand. In the ER the doctors noted that she sustained a distal radius fracture. She was placed into a sugar tong plaster splint that included the elbow joint. At her next follow up 1 week later, she was then transitioned to a short arm cast. She was followed up weekly by her physician for repeat radiographs, which demonstrated acceptable healing without secondary displacement or collapse of the fracture. Now 8 weeks have passed and she is referred to your outpatient hand clinic with orders to “Evaluate and Treat”. You notice that Norma is generally stiff but has a marked loss of passive extension of her radiocarpal joint. Motor, sensory, and pulses are intact. Please complete the following questions. There are supplementary articles to help you complete this discussion. . 1) Norma has a lot of questions for you about her non-surgical management. How does management of her injury non-surgically compare to surgically in term of: cosmetics, grip strength, and functionality? 2) Distal radius fractures are often referred to as a “sentinel event” in older adults—why? 3) Describe the normal arthokinetmatics of the radiocarpal joint for extension. To restore normal wrist extension using manual techniques to restore normal arthokinetmatics, which direction would you apply a gliding/sliding technique (Anterior to posterior? Posterior to Anterior? Medial to lateral? Lateral to medial? 4) Why is restoring extension of the wrist important functionally? There could be a couple of “right” answers here. But, I want you to be specific and answer at a graduate level here in your answer. For “return to prior level of function” or “performance of usual bathing, dressing, grooming, and other self-care tasks” etc won’t be enough to get you full credit here. ( Provide at least 2 citations with your responses.
Mrs. Norma Jean is a 65-year-old female. She was getting up to walk to the bathroom in the middle of the night when she tripped over a throw rug and fell onto an outstretched hand. In the ER the doctors noted that she sustained a distal radius fracture. She was placed into a sugar tong plaster splint that included the elbow joint. At her next follow up 1 week later, she was then transitioned to a short arm cast. She was followed up weekly by her physician for repeat radiographs, which demonstrated acceptable healing without secondary displacement or collapse of the fracture.
Now 8 weeks have passed and she is referred to your outpatient hand clinic with orders to “Evaluate and Treat”. You notice that Norma is generally stiff but has a marked loss of passive extension of her radiocarpal joint. Motor, sensory, and pulses are intact. Please complete the following questions. There are supplementary articles to help you complete this discussion. .
1) Norma has a lot of questions for you about her non-surgical management. How does management of her injury non-surgically compare to surgically in term of: cosmetics, grip strength, and functionality?
2) Distal radius fractures are often referred to as a “sentinel event” in older adults—why?
3) Describe the normal arthokinetmatics of the radiocarpal joint for extension. To restore normal wrist extension using manual techniques to restore normal arthokinetmatics, which direction would you apply a gliding/sliding technique (Anterior to posterior? Posterior to Anterior? Medial to lateral? Lateral to medial?
4) Why is restoring extension of the wrist important functionally? There could be a couple of “right” answers here. But, I want you to be specific and answer at a graduate level here in your answer. For “return to prior level of function” or “performance of usual bathing, dressing, grooming, and other self-care tasks” etc won’t be enough to get you full credit here. (
Provide at least 2 citations with your responses.
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