Transverse Humeral Fracture
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 10 August 2018
⏱️ 11 minutes
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Summary
Carly is being evaluated by physical therapy post transverse humeral mid-shaft fracture. The patient does present with possible neurological compromise.
The physical therapist is challenged with determining the presence of neurological compromise and associated musculoskeletal findings.
How well do you know your origins, insertions, actions, and innervations? Let's test your knowledge in this excellent episode about a transverse humeral mid-shaft fracture.
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Transcript
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| 0:00.0 | This episode of the NPTE Clinical Files is brought to you by the NPTE test strategy playbook. |
| 0:06.1 | Hey, PTs, is your repeat score less than 75%? And if it is, when you review your practice exams, |
| 0:12.6 | do you find several questions that you had the knowledge to, but you still got the question wrong? |
| 0:18.2 | Listen, you're not alone and you might have a test taking strategy |
| 0:21.8 | problem. You need to visit Destroy the NPTE.com to find out how you can stop getting questions wrong |
| 0:29.1 | about the topics that you know. Visit destroy the NPTE.com. You are now tuning in to the NPTE clinical Files, two mock MPTE-based questions told and |
| 0:41.3 | solved week by week. |
| 0:43.3 | Thank you for tuning in to the MPT clinical files. |
| 0:45.8 | My name is Kyle Rice, the MPTE prep coach, the founder of the PT Hustle, and the creator |
| 0:50.8 | of the MPT Prep success course 2.0. |
| 0:57.8 | And for our next NPT clinical file, we have our patient Carly. And Carly suffered a transverse humoral midshaft fracture after she fell off of a stepstool |
| 1:04.9 | at home. |
| 1:05.9 | Since the incident, she reports difficulty turning her doorknob clockwise. |
| 1:10.5 | A nerve conduction velocity test done on her radial nerve found an increased latency period. |
| 1:17.4 | During resisted testing, which of the following is likely to be the most impaired? |
| 1:22.9 | So we have A, forearm pronation, B, elbow flexion with forearm supination, C, elbow flexion with neutral forearm |
| 1:31.4 | positioning, D, radial deviation of the wrist. All right, so for this case, we have our patient |
| 1:37.9 | Carly, she suffered this transverse, humeral midshaft fracture after falling off a stepstool at home. Okay, pretty straightforward, |
| 1:46.4 | but we need to slow up and we need to talk about the transverse humoral midshaft fracture. |
| 1:51.7 | It's really important. Right now, this should automatically be triggering your memory of, you know, |
| 1:58.0 | specific types of injuries that may arise because of that fracture. |
| 2:02.8 | Not just the fracture, but possible nerve damage as well. And we know that this question's already |
... |
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