Discharge Notes: Fracture

Pamantasan ng Lungsod ng Maynila

College of Physical Therapy

PLM-CBR

Respectfully endorsing for discharge Bryan Duterte, a 8 yr old male patient who was diagnosed to have Fx Closed,Complete,Displaced Distal TibioFemoral ®.

Present Problem Lists:

1. Gait deviation manifested by slight calcaneovalgus ® during ambulation
2. Good to Normal mm grade of ankle plantarflexors ®

Present PT Mx:

1. Heel walking x 5 rounds around the PT Clinic
2. Toe walking x 5 rounds around the PT Clinic
3. Trampoline Exercises:
1. Standing one leg with eyes open/eyes close depends on px tolerance
2. Jumping on both legs to one leg x 10 reps

Px was seen and treated 4 times for 2 months since August 2007. Px was sometimes playful and shy but very cooperative during tx session. P was discharged due to mark increase in mm weakness, Normal ROM and improvement in gait.

Dominic S. Adolfo

PLM PT Intern 2008