Regional fractures 2 Flashcards
who do proximal humerus fractures occur in and why
mostly the elderly
osetoperotic fracture
risks of a proximal humeral fracture
brachial plexus injury
AVN and non union in comminuted fractures
treatment for proximal humerus fractures
elderly - conservative
head splitting - arthroplasty
young px and displaced - internal fixation
what is the risk of a humeral shaft fracture
radial nerve in spiral groove - usually neuroprexia
what can a humeral shaft fracture tolerate
substantial angulation without loss of function
treatment of a humeral shaft fracture
conservative
IF only is non-union, pathological, polytrauma, open fracture, high energy, not tolerating brace
what are distal humeral fractures likely to be and what is the treatment
intra articular
ORIF
what is a elbow fracture called
olecranon
what can cause a radial head fracture
elbow dislocation
how are radial head fractures treated
minimally displaced marginal fractures - conservatively
displaced with large fragments - fix
comminuted fracture - exercise +/- replacement
what is common in a forearm fracture
if one diaphysial is fractured then high chance of the other one also being fractured
if its just the radius fractures what should be suspected
dislocation of radioulnar joint - Galaezz fracture dislocation
is it is just the ulna fractured then what should be suspected
dislocation of the radial head - monteggia fracture dislocation
what is the treatment of forearm fractures
if fracture in both arms - ORIF
is mont/gal - treat fractured arm and once bone reduced the head or distal ulna will reduce
what does a direct blow to the ulna cause and how is this treated
isolated ulna fracture - nightstick fracture - treat conservatively
