Friday, 28 March 2025

History Taking for Fracture Case

This article is catered for medical students during the orthopaedics posting. The rationale is to understand the mechanism of fracture and to note relevant points in history to arrive at a proximate diagnosis prior to imaging modalities.

Details of Patient

  • Name ( Always address the patient with due respect. Use 'sir', 'mdm', 'gentleman' etc. They are not your servants to be addressed with name directly. )

  • Age: It is important to ask for age as it tallies with the mechanism of fracture. An old patient at their 7th decade of life would be having primary osteoporosis. A female patient beyond her 5th decade of life is probably post-menopausal. These are risk factors for pathological fractures. So you would anticipate a low-energy trauma from their history.

*Osteoporosis is the reduction of volume and density of the bones which otherwise have a normal histology. It has primary and secondary causes*
  • Occupation