Case Scenario

Mrs Lee is a 60 years old woman. She is the housewife and liveswith his husband and son in the public estate. Last week, she wentto the wet market for buying food and groceries. She slipped fallon the street. Her right upper arm and armpit region were hit onthe kerb. She went home and massage the armpit and upper armimmediately with massage oil. However pain over upper arm andarmpit were still. At evening severe bruising was noted over upperarm and also the axilla. Mrs Lee was admitted to A&Edepartment. She complaint numb over upper arm and could not moveher wrist. Her X-ray indicated fractures over proximal part ofhumerus and she was sent to the ward for further treatment. Theexamination showed that her shoulder movement was limited due topain elicited and muscle weakness. Numbness was also noted overupper arm, forearm and dorsum of the right hand. Sensory testshowed that diminished sensation, only pain sensation was intact.She had weakness in wrist movement. Right hand grip was normal.

Please answer according to the following guidance:

1. According to Mrs Lee condition, please indicate thestructures that were involved in this accident?

a) List out the fracture sites along the humerus with Mrs Leepresentation and the bony landmarks.

b) List out the artery (arteries) and vein (veins) involved inthis accident

c) List out the nerve (nerves) that would be involved in thisaccident

2. What is/are movement limitation that Mrs Lee would comeacross and please explain the reason underneath.

3. Please describe the sensation issue of Mrs Lee and explainthe type/mode of injury resulting in present condition.