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Physiotherapy department
(Femoral fracture )
Prepared by:
ID:201620084
Specialization: physiotherapy
Summer 2018/2019
ORTHOPAEDICS ASSESSMENT
Physiotherapy Department
I. SUBJECTIVE ASSESSMENT
Main Complaints:
The patient inability to do daily or functional activity also he feel a sever pain and
constricted of movement .
CASE HISTORY:
Present History:
His injury occurred on the date of 5.7.2018 due to RTA(Road traffic accident).
After an hour he lost consciousness and the paramedics moved him through the
ambulance and gave him first aid, then took him to the radiology department and
the doctors found that there was a broken thigh, At the same time he entered the
operations department to conduct the operation and they put in his thigh plate and
screw. The beginning of the pain was gradually and he feel continuous sever pain,
also when he lying on the affected side or walking he feel the pain is increasing ,
unlike that he doesn't feel pain at rest or sitting also he take a medication to relieve
pain such Norphin and Optalgin.
Past History:
Free
Social History:
Sohaib 23 years old ,Male , He is smoker ,live in a hight place and this is difficult to
get down and up also that led to be depressing
Medical History:
Free
RADIOLOGICAL TESTS
He had X-Ray, it's show that there is a femoral fracture on left side.
General Observation:
Local Inspection:
1.Swelling
2.Redness
3. Scar due to surgery
Palpation:
1. tenderness: with palpation the patient feel pain at the site of surgery.
3. Skin is dry .
Posture Analysis:
Anterior:
Face: normal
Shoulder: normal
Nipples : normal
Umbilicus : normal
Knee: normal
Ankle: normal
Lateral:
-Spinal column(in siggital plane)- he doesn't have any kyphosis or
sciliosis or lordosis
- shoulder is normal
- pelvis is normal
Posterior:
Scapula – normal
PSIS -abnormal
PHYSICAL EXAMINATION:
Pain:
1.Onset: gradually
3.duration of pain: at all the day increase with movement (continues pain).
3.End feel:
The end feel of the hip extension is firm but he can't do full extension.
4: Muscles Power:
flexion Iliacus
5: Muscles Bulk:
Pt.position Muscles Measurement Notes
Date
RT. LT.
Long sitting Gluteus 49 45 The muscles is
01.07.2018 maximum strengthen
& Hamstring 49 46
05.07.2018. muscles
19.07.2018 49 47
Balance:
Static: normal
6: Sensory Assessment
Superficial Abdominal
Babinski
Deep Biceps
Brachioradialis
Triceps
Knee Jerk
Ankle Jerk
Type of gait : antalgic gait he put more weight bearing on the non affected
side, leg is in neutral position and he use crutches when she transfer from
place to another.
Additional Notes:
Addition to injury the patient suffer from scratch on head and leg.
Sitting: no pain
Rest: no pain
Warmth: no pain
Associated Symptoms:
The patient suffer from pain on femur and Dizziness and fatigue.
Special Tests:
No special test we do the strengthing exercises.
He had a femoral fracture on the left side and he did a surgery and put plate and
screw, also the patient complain of pain during extension , limited ROM and
weakness on the left side due to pain.
Final Diagnosis:
Goals:
Short Term;
1. To relive pain and Swelling
2. To prevent contracture o
3. To Increase ROM
4. To Increase muscle power
Long Term;
1. Restore movements
2. Mobility of the affected joint
3. Strength the affected muscles
4. Restore daily\ functional activities to its back to normal
5. Improve gait
Methods of treatment:-
3. Exercises
Home program:
Recommendation:
Re-evaluation:-
The patient his situation is improvement , the swelling and pain is reduced and he
know can to do partial Range of motion also his muscles is strengthened and therefore
his muscles mass is returned proximately to it's normal mass.