Musculoskeletal case studies for medical students
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A 26 year old male involved in a motor vehicle accident.
The patient had a head injury. No other long bone fractures were present. Anal tone was normal.
Cone's calipers were inserted and the patient placed on a double mattress, ending at he shoulders (for extension). 3.5 kg traction surfficed to give a
good reduction of the fracture. A check (lateral) x ray taken in the ward confirmed
a good reduction. The fracture united with 6 weeks traction and a further 6
weeks immobilization at home in a SOMI brace.