Trauma xray upper limb gallery 1 clavicle and ac joint. Monteggia fracturedislocations bado classification of fractures. Distal forearm, wrist, and hand distal forearm an injury to the distal forearm, caused predominantly 90% of cases by a fall on the outstretched hand, is common throughout life but is most common in the elderly. Hand and finger fractures are breaks in one or more of the 19 bones in each hand. Injuries of upper limb pdf our professional services was launched having a wish to serve as a complete online electronic library which offers use of large number of pdf file archive collection. Accurate knowledge of eponymous fractures can facilitate patient care by helping radiologists and emergency clinicians efficiently convey a great deal of information in an extremely concise manner. Associated fracture of the upper extremity was found in 10. The epidemiology of multifocal upper limb fractures. Fractures broken bones of the shoulder, elbow and wrist are common from both minor and major accidents. Fractures of upper extremity 1 fractures of upper extremity 2 fracture of the clavicle 3 the clavicle. Most occur in patients 5 to 10 years of age, more commonly in boys. Hospital rooms 03 9819 6934 upper limb fractures broken bones treatment about us. The effectiveness of ultrasound in the detection of. Presentation of common upper limb fractures and dislocations.
Exercise reduces impairment and improves activity in. Fractures and dislocations of upper limb linkedin slideshare. Spread the cost of treatment with a 10 month interest free personal medical loan. Concomitant upper limb fractures and shortterm functional. Stress fractures of the upper limb dr peter brukner. Ppt fractures of upper extremity powerpoint presentation. Pdf upper and lower limb fractures with concomitant. Fractures of the superolateral angle, including the scapular neck and glenoid more than 90% of scapular fractures. Hi friends lets have a go at the common upper limb fractures and their key points happy listening post your comments. Fracture of clavicle the most common fracture rarely required open reduction figure of eight cast for midshaft fracture sling for distal fracture mechanism of injury direct 94% of 122 pt.
Upper limb fractures are common and affect all age groups bradley and harrison 2004, courtbrown et al 2001, larsen and lauritsen 1993. Injuries to upper limb page 1 of 18 injuries to upper limb the following is a list of common sporting conditions and injuries. External prostheses do not provide adequate function, so all efforts are focused on salvaging the limb. Gst please note that this course is open only to existing and new otc members. The primary function of your forearm is rotation i. Fractures of the clavicle fractures of the clavicle are common, accounting for 510% of all fractures. The severity of each condition may lead to different treatment protocols and certainly varying levels of intervention. Nvs brachial plexus of the ul runs below the clavicles evaluate it. A bone fractures is a medical condition in which there is a break in the.
We focus on fractures of the long bones of the upper limb. The aim of this study is to identify the epidemiology of multifocal upper limb fractures and define any commonly occurring patterns. The second and third flowcharts deal with several upper extremity fractures and dislocations. Early management of upper limb fractures in general practice pdf. In all cases, these fractures heal with conservative management. Clavicle fracture displacement is usually inferior. Watch this video to see how fractures of the distal radius bone can affect the wrist joint.
In younger adults, upper limb fractures are usually sustained from highenergy trauma such as a motor vehicle accident, whereas in older adults with osteoporotic changes these fractures are usually sustained from a fall bradley and harrison. Pediatric hand and upper limb surgery ebook pdf free download a practical guide edited by peter m. Elbow fractures represent 8% to 9% of all upper extremity fractures in children. Stress fractures of the ulna and radius have also been reported in a number of different upper limbdominated sports. Explain the problems that may occur if a fracture of the distal radius involves. Pediatric annals upperextremity fractures account for more than half of childhood bony injuries. L shoulder girdle humerus elbow forearm hand scapular fr head fr. Upper limb fractures in children are very common and account for nearly 75% of all paediatric fractures. Patients included were those over the age of years who presented to one orthopaedic trauma unit, in an eightyear period, and who sustained a. This article focusses on upper limb fractures and the. These are incapacitating in the short term as they commonly require the use of a cast or brace and restrict the use of the affected limb. Bone loss, softtissue defect, nerve injuries, and infection are the main obstacles to be defeated in upper limb war injuries.
Upper extremity traumas presented an exponential rise not only in quantity but also in complexity over the last. The treatment of upper limb fractures requires careful tailoring to the individual patients demands and the type of fracture sustained. Covering all the injuries from many sides definition classification mechanisms of injury c slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Bae published by lippincott williams and wilkins about the book. Pdf pediatric upperextremity fractures researchgate. With anterior dislocatiory the patient will have deformity and pain with palpation at the sc joint. Fractures and dislocations of the upper limb ii shoulder. Remember muscle locations, it can be asked as a question for identification. A hand or upper extremity fracture occurs when a fracture, commonly known as a break or crack in a bone, occurs in the upper extremity. As treatment therefore is quite subjective we have merely provided a list of commonly used modalities. Clavical fracture,shoulder dislocation,rotator cuff syndrome,humerusneck,shaft,supracondyler fracture,colles,monteggia,montagia,smith,chauffer,barton fracture. Displaced clavicle fractures can injure subclavian vessels, nerves and lung appex due to.
These are incapacitating in the short term as they commonly require the use of crutches, casts and modifications of activities as well as time off work and. Upper extremity fractures free download as powerpoint presentation. There is increasing recognition given in regard to managing these fractures in the setting of elderly, lowenergy falls. We work with you and your insurance provider to get you the treatment you. There were 689 participants with 295 fractures across these studies, and the fracture prevalence ranged from. They span a spectrum from minor buckle fractures of the distal radius to supracondylar fractures with vascular compromise requiring emergency intervention. The epidemiology of upper extremity fractures in the. Pdf upperextremity fractures account for more than half of childhood bony injuries. The physician should consider stress fracture as a possible diagnosis in cases of upper limb pain of bony origin where the pain is associated with overuse. Upper limb fractures shoulderelbowforearmwristhand. Acute fractures of the upper limb musculoskeletal key. These consist of the arm, located between the shoulder and elbow joints.
Look for skin tenting results in open fracture by perforating the skin or creating a necrotic area. Using international classification of disease, ninth edition codes for patient visits reported in the 2009 state emergency department database and the state inpatient database, available from the healthcare cost and utilization project, and. Upper extremity fractures radiology reference article. Fractures and dislocations upper limb linkedin slideshare. The incidence of associated fractures of the upper limb in. Fractures of the 5th metacarpal neck alone account for 10% of all fractures in the hand. Objective the aim of this study was to evaluate functional recovery in a subgroup of hip fracture patients who sustained a simultaneous fracture at the upper limb, taking into account the site of upper limb injury design of 760 patients admitted consecutively to the authors rehabilitation hospital because of a fallrelated hip fracture, 700 were retrospectively investigated. The humerus is the single bone of the upper arm, and the ulna medially and the radius laterally are the paired bones of the. The frequency of injury increases with increasing mobility. The fracture may be caused by direct trauma or indirectly. Of all elbow fractures, 86% occur at the distal humerus.
Pdf the treatment of upper limb fractures in children and. Hand fractures are often due to a direct blow or a fall onto the hand. Apophyseal fractures, including the acromion and coracoid type iii. Finger fractures commonly occur from sporting injuries and falls. Clavicular fractures and disruption of the ac joint are demonstrated. Upper extremity fractures cook childrens medical center. Splinting ulnar gutter splint 4th5th fingers, can be hand. Download john ebnezar cbs handbooks in orthopedics and fractures. The fracture of the forearm affects the ability to rotate your arm, as well as bend and straighten the wrist and elbow. Associated upper limb fractures in patients with a radial head fracture are common in the european population.
Displacement of the acromion is usually inferior in acromioclavicular joint dissociation. Forearm fractures non operative distal 23 ulna nightstick fractures both bone fractures. Proximal humerus fractures phf account for 56% of all adult fractures1. Hand and arm fractures childrens hospital colorado. Fractures with neurovascular injury might need to do artery and nerve repair 3. Seven studies investigated the use of ultrasound in the diagnosis of upper limb bone fractures. For one reason or another, surgical treatment of common upper limb fractures.
625 1211 1540 989 131 1059 300 73 720 566 325 1544 1032 205 1282 360 482 98 1135 675 840 670 912 1389 806 70 1261 1268 465 1147 1145 124 610 753 78 317 464 1399 1284 800 1402 783 284