upper extremity fractures Flashcards
which type of Upper extremity fracture has problems with non union and malunion due to a poor blood supply
scaphoid fractures
blood supply to the proximal part of the scaphoid comes from
more distal area
when is surgery indicated for a distal radial fracture
if intra-articular or displacement is severe
2 features of a distal radial fracture
can be reduced closed
heal in a cast in 6 weeks
if a distal radial fracture doesnt heal well
can develop post traumatic osteoarthritis
majority of radial fractures are
extra articular and can be reduced in a closed way
forearm fractures need what type of reduction
anatomic to preserve range of motion
the fracture of “necessity”
distal humeral fractures are often
intra-articular
most common complication of a distal humeral fracture is
stiffness
For early motion what do you need for a humeral fracture to fix
open reduction and internal fixation
when you have a displaced intra-articular fracture you must
ORIF
where should the screw heads be?
buried in cartilage to avoid injuring the joint
For an elderly patient with a distal humeral fracture
just replace the elbow
humeral shaft fracture is associated with what nerve injury
a radial nerve injury
- most heal without surgery in a splint
how do you treat clavicular fractures?
in a sling -
only symptom management