specific fracture

19
FRACTURES (REGIONAL INJURIES)

Upload: afnan-alkaff

Post on 16-Dec-2015

229 views

Category:

Documents


0 download

DESCRIPTION

gjhk

TRANSCRIPT

  • FRACTURES(REGIONAL INJURIES)

  • CLAVICULAR FRACTUREOutstretched handJunction of middle to outer thirdsTreatment Figure eight ransel verbandBroad arm slingOperative

  • SHOULDER DISLOCATIONShoulder is painfulKinked contour of shoulderSlight abductionTreatment Kochers methodTraction, 90 ext rotation, adduction, int rotationArm slingHippocratesStimson

  • FRACTURE SHAFT HUMERIDiagnosis of fracture antequoRadial nerve injury!Treatment U slab methodeHanging castSurgery

  • SUPRACONDYLAR HUMERI FRACTUREOutstretched handNeurovascular injury! Brachial arteryTreatmentArm slingLong arm slabSurgery K nail

  • FOREARM FRACTUREProximal thirdMidshaftDistal thirdTreatment CastingSurgery

  • MONTEGGIA FRACTURE DISLOCATIONShaft ulna, dislocation proximal radioulnar joint

  • GALEAZZIS FRACTURE DISLOCATIONShaft radius, dislocation distal radioulnar joint

  • COLLES FRACTUREDistal radius fractureDorsal displacement of distal fragmentDinner fork deformityTreatment with long arm cast, pronation, 90 elbow, ulnar deviation

  • SMITHS FRACTUREDistal radius fracture, distal fragment Distal fragment tilted volarly

  • PELVIC FRACTUREStable Rotationally unstable, vertically stableRotationally and vertically unstable

    Blood loss

    C-clampPelvic sling

  • HIP DISLOCATIONAnt post and latTypically post dislocationPutri maluBigelows techniqueStimsons technique

  • FEMORAL SHAFT FRACTURESkin tractionHemispica ORIF

  • PATELLAR FRACTURETBWKwire with TBW

  • FEMORAL NECK FRACTUREGardens and Pauwels classificationExternal rotationAbductedShortenedTrue lengthFrom SIAS to medial malleolusApparent lengthFrom umbilicus to medial malleolus Risk of avascular necrosisCompression sliding screwAustin Moore prostheses

  • SPINE FRACTURESFrankel classificationAtlas fractureJeffersons fractureOdontoid fractureHangmans fractures

    ****************