Beruflich Dokumente
Kultur Dokumente
Rima Zakiyah
Desember 2014
CLAVICULAR FRACTURE
Extremely common
Mx: Fall on outstretched hand, fall onto
outside of shoulder, direct hit to clavicle
Treatment: Figure-of-8 sling; No
activities that exacerbate pain; full
recovery in 12 weeks.
SCAPULAR FRACTURE
Uncommon
Scapular body fx are the most common type
Commonly (80-90%) associated with other
injuries lung and chest
Dont require surgery
Fracture of Ulna
Dislocation of radial head within the elbow
joint
Treatment: Surgery
RADIAL HEAD
Most common part broken in elbow
fracture
Most common caused by fall onto
outstretched hand
+/- surgery depending on displacement
GALEAZZI FRACTURE
Fracture of Radius
Injury of the distal radio-ulnar joint of
wrist (shortening and dislocation of distal
ulna)
Mechanism: fall on outstretched hand
with elbow flexed
Treatment: Surgery to repair radius, then
inspection of distal radio-ulnar joint
NURSEMAIDS ELBOW
Common in young children (< 5 yo)
Subluxation of radius at elbow joint bone
has slid out of proper position
Classically a sudden pull on childs arm
If treated (replaced) quickly, immobilization
is not necessary
For multiple subluxations, cast to allow
ligaments to heal
SMITHS FRACTURE
Fracture of distal radius near the wrist joint
Volar/anteriorly displacement (in front of
normal position)
Most common found after falling on to the
back of the hand
Often referred to as a reverse Colles fracture .
Treatment: Requires fixation
Smith Fracture
COLLES FRACTURE
Fracture of distal radius
Displaced posteriorly (behind normal
position)
Most common after fall onto outstretched
hand