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UPPER EXTREMITY TRAUMA (WRIST (Colle's distal radius fx, radius…
UPPER EXTREMITY TRAUMA
PECTORAL GIRDLE
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AC JT INJURIES IMPT!!
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Type III separation: ACJ, coracoclavicular lig involved
SC JT INJURIES mc anterior dislocation, CT
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ELBOW
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RADIUS mc young adults: Chisel Fx, Radial Neck Fx, Dislocation mc children (nursemaid / pulled elbow)
ULNA olecranon process, coronoid process
FOREARM
Monteggia Fx radius dislocate, ant ulna fx
Galeazzi Fx distal radial shaft, dislocation of the distal radioulnar joint, anterior line sign
OTHER FXs
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Torus Fx hamate, capitate 2yo
WRIST
Colle's distal radius fx, radius displaced upward, outstretch hand fall w extended wrist, mc middle age female, pronator quadratus
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Lunate Dislocation mc carpal, hyperextesion, pie sign, Perilunate dislocation
Scapholunate Dissociation scapholunate lig, Terry Thomas sign (widened intra-articular distance)
Scaphoid Fx mc carpal, waist of scaphoid at 1) distal pole 20%, 2) waist 70% 3) proximal pole 10%
Triquetral / Fisher Fx avulsive, hyperflexion, MC 2nd carpal bone
Hamate Fx direct blow. double ring, loss of normal ring
HAND
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Metacarpal Fx mc 5th metacarpal (transverse fx), 3rd 4th shaft
Bennett's Fx medial base 1st metacarpal, intra-articular
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