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 |
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Perfusion | Capillary refill Color Temperature |
*Contact Orthopaedics immediately for weak or absent pulse perfusion.
Motor and Sensory Exam for Lower Extremity
NERVE | SENSORY |
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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 |
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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 |
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Toe/Ankle dorsiflexion | Dorsal web space between 1st and 2nd toes (quick test of deep peroneal nerve) |
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Tibial Nerve: Test with plantar flexion foot/toes | |
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