Concluded Case

A RTA CASE

A 18 years old male patient, admit for leg injury, patient is conscious. Chief Complaints Seriously injury č bleeding at right lower leg, Fracture on tarsal bone. History NAD Vitals Temp. 98°F BP 130/ 90mmHg Pulse 100bpm R/R 20bpm Spo2 99% Physical Examination Chest B/L clear Abdo. Soft CVS s1 &s2 P O/F NAD Investigations Repot is submitted Management Under local anaesthesia stitches given č proper dressing done č saftiloc. PPI Pipzo Mikacin Chymoral forte Metrogyl Dilona

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Concluded answer

Fracture 2nd metatarsal: Displaced: Likely to be compound injury Possible fracture head of 3rd and 4th metatarsal Skin condition doesn't look promising Bridge of skin between two transverse lacerations May necrose exposing the tendons and fracture Percutaneous k wire fixation of 2nd metatarsal an option See how the wound behave in coming days Get an orthopaedic evaluation Possibly a runover injury Check plantar skin There may be closed degloving

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Crush injury foot #2nd metatarsal displaced This will require K wiring fixation of FRACTURE Rest of treatment may be continued

Thanx dr Maqusud Ansari
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Fracture 2nd metatarsal: Displaced: Likely to be compound injury Possible fracture head of 3rd and 4th metatarsal Skin condition doesn't look promising Bridge of skin between two transverse lacerations May necrose exposing the tendons and fracture Percutaneous k wire fixation of 2nd metatarsal an option See how the wound behave in coming days Get an orthopaedic evaluation Possibly a runover injury Check plantar skin There may be closed degloving

SUGGESTIVE. OF R. T. A WITH LEG. INJURY AND FRACTURE. ON TARSAL. BONE NICELY. TREATED NEEDS REST ANTIBIOTICS ANTI INFLAMMATORY PROPER. A S D

2nd metatarsal fracture distally. May require k wire. Ortho opinion.

Crush injury foot # 2 nd metatarsal Requires K Wire fixation Rest treatment to be continued

agree with @Dr. Dinesh Gupta in Ayurveda, Rx Abhyadi qwath BD Sanjivani vati 2tid SH tab 1bd Shatdhautghreet for dressing

NICE MANAGEMENT CONSULT TO ORTHOPAEDIC

सतधवत घृत की ड्रेसिंग करें। हड़जोड का पाउडर बनाकर 10 ग्राम सुबह-शाम दूध के साथ दे। योग परिक्षित है।

2nd metatarsal fracture With 4th and 5th proximal phalanx fracture