Fracture fixation Flashcards
Weber A, B & C
A - conservative treatment
B & C - Open reduction, internal fixation with plate and screws
Two things to look out for in clavicular fracture?
Pneumothorax - percuss and auscultate!
Neurovascular exam of limb on affected side - Sensation and pulses
What investigation in clavicular fracture?
AP radiograph
Middle 1/3 clavicular fracture, what happens to lateral and medial fragments?
Lateral pulled DOWN by weight of limb
Medial pulled UP by SCM
Management of clavicular fracture?
Manage conservatively in a sling
2x complications
Thoracic outlet syndrome
Brachial plexus injury
When is a humeral fracture a surgical emergency?
Associated with dislocation
How to manage undisplaced humeral fracture?
Sling and shoulder immobiliser
How to manage displaced humeral fracture?
ORIF
What is a Hill-Sach’s lesion?
Humeral head compression fracture, associated with recurrent dislocatipon
What to comment on in supracondylar fracture of the elbow?
Anterior humeral line and position of capitulum
Visible fracture line
Displacement of distal fragment
How to manage supracondylar fracture w/displacement?
Surgical management
Splint
Check distal pulses, neuro sensation. Risk of compartment syndrome, volkman’s contractures.
How to deal with wrist fractures?
ORIF
Colle’s fracture
Can often be managed with closed reduction and splint
ORIF used for major displacemetn
