Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a previously treated fracture, now demonstrating clinical and radiographic evidence of malunion. Patient reports persistent localized pain, functional impairment, and visible or palpable deformity at the fracture site. History includes [insert original injury date/type] with subsequent [conservative/surgical] management. Symptoms have [worsened/remained stable] over the past [duration].
Clinical Examination Findings
Physical examination reveals visible angulation, rotational malalignment, or shortening at the fracture site. Palpation demonstrates firm, non-tender or mildly tender callus formation. Range of motion (ROM) at adjacent joints is [restricted/normal]. Neurovascular status is intact distally. Radiographic imaging confirms bony union in a non-anatomic position with [specify degree of angulation/displacement].
Treatment Protocol
Treatment plan involves [observation/corrective osteotomy/hardware revision]. For symptomatic malunion, surgical intervention is indicated to restore mechanical axis and function. Post-operative management includes [immobilization/physical therapy/gradual weight-bearing]. Pain management via [NSAIDs/analgesics] as needed. Follow-up scheduled in [timeframe] for radiographic assessment of healing.