Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right arm pain following a mechanical fall/trauma. Reports localized swelling, deformity, and inability to move the right upper extremity. Denies numbness or tingling in the hand. No prior history of fracture in this extremity.
Clinical Examination Findings
Right upper extremity: Obvious deformity of the mid-humerus noted. Significant soft tissue swelling and ecchymosis present. Tenderness to palpation over the humeral shaft. Distal neurovascular status: Radial pulse 2+, capillary refill <2 seconds. Sensation intact to light touch in radial, ulnar, and median nerve distributions. Motor function: Unable to assess due to pain; no clinical signs of radial nerve palsy noted.
Treatment Protocol
Immobilization with a coaptation splint and sling/swathe. Pain managed with NSAIDs and acetaminophen. Orthopedic follow-up scheduled for repeat radiographs to assess fracture alignment. Strict instructions provided for neurovascular monitoring.