Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of severe right/left upper arm pain following [mechanism of injury, e.g., fall onto outstretched hand/direct blow]. Reports localized swelling, deformity, and inability to move the affected extremity. Denies numbness, tingling, or distal paresthesia.
Clinical Examination Findings
Inspection reveals obvious deformity, ecchymosis, and significant soft tissue swelling of the humeral shaft. Palpation demonstrates point tenderness and crepitus. Neurovascular exam: Radial pulse 2+ bilaterally, capillary refill <2 seconds. Motor/Sensory: Intact sensation in radial, median, and ulnar nerve distributions. Check for wrist drop (radial nerve palsy).
Treatment Protocol
Immobilization via coaptation splint or humeral brace. Analgesia initiated with [medication]. Orthopedic consultation for definitive management (non-operative vs. ORIF). Strict adherence to sling usage and elevation to reduce edema. Follow-up imaging in 1-2 weeks to assess alignment.