Mrs Lee is a 60 years old woman. She is the housewife andlives with his husband and son in the public estate.
Last week, she went to the wet market for buying food andgroceries. She slipped fall on the street. Her right upper arm andarmpit region were hit on the kerb. She went home and massage thearmpit and upperarm immediately with massage oil. However pain overupper arm and armpit were still. At evening severe bruising wasnoted over upper arm and also the axilla. Mrs Lee was admitted toA&E department. She complaint numb over upper arm and could notmove her wrist. Her X-ray indicated fractures over proximal part ofhumerus and she was sent to the ward for further treatment.
The examination showed that her shoulder movement was limiteddue to pain elicited and muscle weakness. Numbness was also notedover upper 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 wasnormal.
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 thefracture sites along the humerus with Mrs Lee presentation and thebony
landmarks.
b) List out the artery (arteries) and vien (veins) involved inthis accident
c) List out the nerve (nerves) that would be invloved 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.
please describe more details of Q2,3 thx a lot
