期刊名称：International Journal of Early Childhood Special Education
电子版ISSN：1308-5581
出版年度：2022
卷号：14
期号：5
页码：4454-4457
DOI：10.9756/INTJECSE/V14I5.525
语种：English
出版社：International Journal of Early Childhood Special Education
摘要：An avulsion fracture is where a fragment of bone is pulled away at the ligamentous or tendinous attachment. It can be caused by traumatic traction (repetitive long-term or a single high impact traumatic traction) of the ligament or tendon. This occurs as tendons can bear more load than the bone. It can occur at numerous sites in the body, but some areas are more sensitive to these types of fractures than others, such as at the ankle which mostly occurs at the lateral aspect of the medial malleolus or in the foot where avulsion fractures are common at the base of the fifth metatarsal, but also at the talus and calcaneus. Case presentation: -A 59- years - old male admitted in tertiary care hospital Wardha.with the complaints of injury to the left foot, bleeding in the toe wound, trouble moving the leg, swelling, muscle soreness, and limping or inability to walk.No history of hematemesis, abdominal pain, nausea, vomiting. No history of cold, cough, fever, syncope, loss of consciousness. Previous treatment, no prior hospitalization. There was no associated illness were present like Diabetes mellitus, tuberculosis, and thyroid disorder. No any significant past history. Physical examination and systemic examination were done. In respiratory system: bilateral clear, cardiovascular: heart sound was normal, central nervous system: conscious and oriented, abdominal examination: soft and nontender. No any abnormality detected in musculoskeletal system. Conservative management: All the routine investigation done. A doctor can diagnose an avulsion fracture by examining the injury and carrying out an X- ray. Magnetic resonance imaging and computerized tomography scan can help for diagnosis. Orthopaedicsurgeons’ opinion was taken and patient was advice for restriction of activity. Surgery opinion was taken and patient was advised for conservative management. Conclusion: due to conservative management and quality nursing care patient condition was stable and had no active complaints at present hence patient is being discharged.
