Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute left arm pain following a mechanical fall/trauma. Reports localized swelling, deformity, and inability to bear weight or move the left upper extremity. Denies numbness or tingling in the hand. No prior history of fracture in this extremity.
Clinical Examination Findings
Left upper extremity: Obvious deformity of the mid-shaft humerus. Significant soft tissue swelling and ecchymosis present. Palpation reveals crepitus and point tenderness at the mid-shaft. Neurovascular: Radial pulse 2+ and symmetric. Capillary refill <2 seconds. Sensation intact to light touch in radial, ulnar, and median nerve distributions. Motor: Unable to assess due to pain; no clinical evidence of radial nerve palsy (wrist extension intact).
Treatment Protocol
Closed reduction performed under sedation/local anesthesia. Application of a coaptation splint and sling/swathe for immobilization. Orthopedic follow-up scheduled for repeat radiographs in 7-10 days. Pain management initiated with NSAIDs and acetaminophen. Strict elevation of the left arm to reduce edema.