Fracture Healing Times

Upper Extremity Callus formation: 2-3 weeks Union: 4-6 weeks Lower Extremity Callus formation: 2-3 weeks Union: 8-12 weeks Union has indications for weight bearing Check for MD orders prior to mobilizing Terms: Stable: clinical union vs. Unstable Displaced: long axis does not align Open vs....
So your patient has one upper extremity, or even worse, bilateral non-weightbearing precautions, likely due to distal radius fracture(s). Does this mean OT cannot do any activities with them? Is everything not attempted for safety in your initial evaluation? In...

Colles’ Fracture (Distal Radius)

Etiology Most common mechanism of injury is a fall on an outstretched hand. The wrist usually lands in extension and the forearm in pronation. Facts Most common injury to the wrist May result in limited wrist flexion, extension, forearm pronation & supination ...
Background A sling acts as an immobilization device. A fracture cannot heal unless it is prevented from moving. Immobilization also helps the bone fragments fuse together by keeping them in the correct position. Slings should be worn at all...
Before the Stitches & Staples Come Out Educate on positioning in bed and sitting. No pillows under knees. Promote stretching in prone position if tolerable (no low back pain). Provide sitting support for wheelchair - residual limb supports. Educate...

Amputation Levels

Amputation is identified by which joint or long bone has been amputated. Above knee (AKA): transfemoral Below knee (BKA): transtibial Below ankle: transmetatarsal Above elbow: transhumeral Below elbow: transradial Below wrist: transmetacarpal Disarticulation: across a joint such as hip, wrist,...
Background on Rib Fractures Ribs protect the lungs as they contract/expand with breathing. Rib Fracture Mechanism Typically from a blow to the chest General population: motor vehicle accidents Children's bones bend easily and can often withstand breaks during a blow...