Humerus fracture medical history

In addition to basic information about the patient, the humerus fracture chart should describe the cause of the injury, which side of the limb, the time of injury, and what treatment was performed prior to the hospital visit. For the orthopedic surgeon, it is relatively important to write the specialist examination, such as swelling of the affected limb, subcutaneous ecchymosis, impaired mobility, open or closed fracture, and to describe the exclusive signs of the fracture, such as limb deformity, abnormal activity, bone rubbing sound, and bone rubbing sensation. The presence of early complications of the fracture should be described, for example, if combined with brachial artery injury, distal limb blood flow disorders may occur, and the color of the hand skin, skin temperature, and pulse should be described; if there is radial nerve injury, this also needs to be described, for example, inability to dorsally extend the metacarpophalangeal and wrist joints, inability to rotate the forearm back, inability to abduct the thumb, and impaired skin sensation in the 3½ fingers of the radial side of the dorsum of the hand. The medical record should also describe the x-rays and 3D CT examinations, the specific location of the fracture, such as upper, middle, and lower humeral fractures, whether it is a single fracture or a comminuted fracture, and the type of fracture displacement. The specific treatment and recovery at discharge, discharge instructions, precautions, and functional exercises should also be described.