Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents following high-energy trauma to the right lower extremity. Reports severe pain, inability to bear weight, and visible deformity of the right thigh. Neurovascular status intact distally. No reported numbness or paresthesia.
Clinical Examination Findings
Right thigh demonstrates significant swelling, ecchymosis, and palpable deformity at the mid-shaft femur. Tenderness to palpation is diffuse. Distal pulses (dorsalis pedis/posterior tibial) are 2+ and symmetric. Capillary refill < 2 seconds. Sensation intact to light touch in all dermatomes. No motor deficits noted in the foot or ankle.
Treatment Protocol
Immobilization with traction splint applied. Radiographic imaging confirms closed, displaced right femoral shaft fracture. Plan: Urgent orthopedic consultation for intramedullary nailing. Analgesia administered. NPO status initiated in anticipation of surgical intervention.