MODULE 5 & 6
ELBOW, WRIST, & HAND
ELBOW
Constitute 6% of all fractures
ADULT• Radial head 50%
• olecranon 20%
• superocondylar10%
• fracture/ dislocation
15%
CHILD• superocondylar
60%
• lateral condyle15%
• medial 10%
epicondyle
CHILDREN
Comparison views often needed
COLLES
Fracture of the distal radius 20-35mm from articular surface Posterior angulation of the distal fragment Approximately 60% will have fracture of
the ulnar styloid Fall on an outstretched hand
COLLES FX
FIG 9.185a
COLLES FX
FIG 9.185b
SMITH’S
Fracture of the distal radius Anterior angulation of the distal fragment
SMITH’S FX
FIG 9.186a
SMITH’S FX
FIG 9.186b
SMITH’S FX
FIG 9.186c
GALEAZZI
Distal radius fracture with ulnar dislocation
GALEAZZI FX
FIG 9.183
MONTEGGIA
Proximal ulnar fracture with radial dislocation
MONTEGGIA FX
FIG 9.182
NORMAL X-RAY ANATOMY
Elbow Wrist Hand
ELBOW POSITIONING SLIDES
AP Lateral Jones view Oblique view - has been replaced by radial
head - capitellum view
WRIST POSITIONING SLIDES
PA Ulnar Deviation Lateral Oblique
HAND POSITIONING SLIDES
PA Oblique Lateral
MEASUREMENTS
Axial relationships Carpal alignment
Axial relationships
FIG 2.74a
Carpal alignment
FIG 2.74b