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Extremity Fracture, Long Bone Open Fracture — Vascular Function of Lower Extremity — Clinical Pathway: Emergency

Extremity Fracture, Long Bone Open Fracture — Vascular Function of Lower Extremity — Clinical Pathway: Emergency

Vascular Function of Lower Extremity

Pulse Posterior tibial, dorsalis pedis (present, weak, absent)
Compare to opposite extremity
Perfusion Capillary refill
Color
Temperature

*Contact Orthopaedics immediately for weak or absent pulse perfusion.


Motor and Sensory Exam for Lower Extremity

NERVE SENSORY
Deep Peroneal Dorsal web space 1st and 2nd toes
Superficial Peroneal Remainder of the dorsum of the foot (near DP pulse)
Sural Lateral foot/ ankle
Saphenous Medial ankle

NERVE MOTOR
Peroneal Ankle dorsiflexion
Great toe extension (Extensor Hallucis Longus)
Tibial Ankle plantarflexion
Toe flexion (Flexor Digitorum Longus)
Great toe flexion (Flexor Hallucis Longus)


Motor Sensory
Toe/Ankle dorsiflexion Dorsal web space between 1st and 2nd toes
(quick test of deep peroneal nerve)
Toe/ Ankle dorsiflexion Dorsal web space between 1st and 2nd toes
Tibial Nerve: Test with plantar flexion foot/toes
Tibial Nerve: Test with plantar flexion foot/toes Tibial Nerve: Test with plantar flexion foot/toes

Nerves - back of calf and foot
Nerves - shin and top of foot and toes

Nerves on Bottom of Foot

 

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