Common Fractures

Amelia A Adams MD

Martin I Boyer MD

SUMMARY

1. Describe location of fracture

2. Describe probable mechanism

3. Describe displacement

4. Understand reasons for operative treatment of fractures

5. Know common eponyms

LEG

Inter trochLocation?High energy or low energy fracture?Varus or valgus?Avascular necrosis or not?Natural history with/without operative fixation?

Inter troch -fixed

Fem neckLocation?High energy or low energy fracture?Varus or valgus?Avascular necrosis or not?Natural history with/without operative fixation?

Fem neck - fixed

Comment on alignment, fixation?

seg femur

Diagnosis?High energy or low energy?Varus or valgus?Procurvatum or recurvatum (or neither)?Deforming forces (muscles)?Natural history with or without operative treatment?Complications?

seg femur

Diagnosis?High energy or low energy?Varus or valgus?Procurvatum or recurvatum (or neither)?Deforming forces (muscles)?Natural history with or without operative treatment?Complications?

Tibia

Diagnosis?High energy or low energy?Natural history with or without operative treatment?Complications?

Tibia - fixed

tibia - openDiagnosis?High energy or low energy?Natural history with or without operative treatment?Complications?

tibia - openfixed

lateral mal = boyers

Diagnosis?Mechanism of injury?What is fractured?What is torn?Operative or non-operative treatment?

PELVIS

Pelvis: open book

Diagnosis?High energy or low energy?Which hemipelvis is displaced?Natural history with or without operative treatment?Complications (acute and subacute)?

Pelvis: open book - fix

acetabulm, ramus

Diagnosis?High energy or low energy?Mechanism of injury?What are common associated injuries?Complications (acute and subacute)?Treatment (operative or non-operative)?

post dislocation

Diagnosis?High energy or low energy?Mechanism of injury?What are common associated injuries?Complications (acute and subacute)?Treatment (operative or non-operative)?

olecranon

Diagnosis?Mechanism of injury?Which nerve is nearby?Why is this fracture treated operatively?

olecranon - fix

prox humDiagnosis?High energy or low energy injury?ID coracoid, acromion, scapular bodyAnterior or posterior to glenoid?Reduction maneuver?

Diagnosis?Varus or valgus?Nerve at greatest risk of injury?Operate or not?

Hum shaft

Diagnosis?High energy or low energy?Operative or non-operative treatment?Is past medical history important?Differential diagnosis for lesion?

EPONYMS

DR

BBFx

ulna - nondis

buckle

SUMMARY

1. Describe location of fracture

2. Describe probable mechanism

3. Describe displacement

4. Understand reasons for operative treatment of fractures

5. Know common eponyms