Wrist Fractures Flashcards
1
Q
Wrist Fractures Epidemiology
A
- Three quarters of wrist injuries are fractures of the distal radius and ulna
- Carpal bones fractures less frequently
2
Q
Wrist Fractures Classification
A
- Simple
- Compound (bone doesn’t have to be protruding, if skin is broken this is enough)
- Comminuted
- Greenstick
3
Q
Wrist Fractures Types
A
- Colles’
- Smith’s
- Scaphoid
- Barton’s
- Chauffeur’s
- Greenstick
- Ulnar styloid
4
Q
Wrist Fractures Reduction Criteria
A
-Any vascular or neurological compromise
5
Q
Wrist Fractures Immobilisation
A
-Immobilise joint above and joint below
6
Q
Wrist Fractures Scaphoid, Epidemiology, Complication, Presentation and Management
A
- Most common carpal fracture
- High risk of avascular necrosis
- Complaint is usually of local pain
- Difficult to identify on X-ray
- Repeat after 10-14 days
- Manage with cast immobilisation and repeat imaging after 10-14 days
7
Q
Wrist Fractures Colles’, Definition, Epidemiology, Sign, Management, Complications
A
- Fracture through distal radius
- Common in elderly
- Characteristic sign?
- Reduce and cast
- Can cause median and/or ulnar nerve damage, can be acute carpal tunnel syndrome
- Can cause compartment syndrome
- Most common for fragility fracture, be concerned if occurred from standing height or less
8
Q
Wrist Fractures Smith’s Definition, Epidemiology, Sign, Management
A
- Reverse Colles’
- Falling backwards
- Garden spade deformity
- Similar fracture to Colles’ but displaced anteriorly
- Closed reduction
9
Q
Wrist Fractures Barton’s Definition and Management
A
- Distal radius fracture with additional dislocation
- Smith’s or Colles’ but with dislocation
- Operative reduction usually required
10
Q
Wrist Fractures Chauffeur’s Definition and Management
A
- Radial styloid
- Can be associated with others
- Operative fixation required
11
Q
Wrist Fractures Greenstick
A
- Periosteum remains intact
- Reduction and fixation
12
Q
Galeazzi, Monteggia and Ulnar Shaft Fractures Management
A
-All require open reduction
