Trauma in bangladesh

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Subsequent Visit :

( After………………………Weeks )

1. Infection : 1 . Yes 2. No a. Fracture site 2. Pain : 1. No pain 2. Mild 3. Moderate 4. b.Severe Shoulder/ Elbow c. Graft donor site

3. X-Ray findings:

a. b. c. d. e.

Fracture alignment Presence of callus Position of screws Position of plate State of union

: 1. Intact 2. Not intact : 1. visible 2. Bridging : 1. Intact 2. Loosened : 1. Intact 2. Loosened : 1. Uniting 2. United 3. Not United 4. Delayedly united 4. Status of previous complications : 1. Present 2. Absent 5. Muscle wasting : 1. yes 2. No 6. Range of motion:

Shoulder Active Flexion 0-180 Extension 0- 45 Abduction 0-180

Passive

Flexion 140 Extension 0

7.

Any deformity

: 1. yes

Elbow Active Passive 0-

2. No


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