Fracture of Antebrachii

Dewi marifah Anggraeni

17360096
 definition
 Disconectionof the radius and ulna bone
cause by an injury either directly or
indirectly
 Causes of Radius and Ulna
Fractures
 Falling on outstretched arm
 Direct blow
 Mountain biking
 Skateboarding
 Trauma
 Automobile accidents
 Types of Fractures
 Nightstick fracture
 Defined as an isolated midshaft ulnar fracture
 Monteggia fracture
 Defined as a fracture of the ulna (usually proximal
one third) with dislocation of the radial head.
 Galeazzi fracture
 Defined as a fracture of the distal one third of the
radius with dislocation of the distal radioulnar joint
(DRUJ).
 Types Cont.
 It is also known as a reverse Monteggia
fracture.
 Essex-Lopresti fracture
 This is defined as a fracture of the radial head
and dislocation of DRUJ, with partial or
complete disruption of radioulnar interosseous
membrane.
 Types Cont.
 Closed or simple fracture
 The bone is broken, but the skin is not
lacerated.
 Open or compound fracture
 The skin may be pierced by the bone or by a
blow that breaks the skin at the time of the
fracture
 The bone may or may not be visible in the
wound.
 Types Cont.
 Transverse fracture
 The fracture is at right angles to the long axis
of the bone.
 Greenstick fracture
 Fracture on one side of the bone, causing a
bend on the other side of the bone.
 Comminuted fracture
 A fracture that results in three or more bone
fragments.
Types Cont.
 Signs and Symptoms
 Most of the time you will know if you have
a broken arm
 Snap or cracking sound
 Area will be tender and swollen
 Obvious deformity
 Decreased sensation or inability to move
the limb, which may indicate nerve
damage
 Diagnose
 ANAMNESE
• Pain Complaints
• Trauma Adequat
• Another disease
 Physical Examination
 Inspeksi
- Odema
- Haematom
- Deformitas ( Angulasi,Discripancy,Rotasi )
 Tactile
- Tenderness
- Kripitasi
 Movement
-active movement
-Passive movement
 Radiological Examination
• The fracture part should be fixed first
• X-rays include the proximal and distal portions
of the fracture
 Treatment
 External fixation methods
 plaster and fiberglass casts
 cast-braces
 splints
 Internal fixation methods
 metal plates
 Pins
 screws
VOLAR
ELBOW
 Prognosis
 Earliertreatment usually improves results
 Fractures in younger children and
adolescents tend to heal better
 Fractures that have multiple breaks,
involve a joint, have open wounds, or
become infected could have healing
complications.
 Prognosis Cont’
 Older adults have increased chance of
losing some ability or movement in the
broken arm.
 Chronic diseases such as osteoporosis
and diabetes may slow the healing
process.
 Prevention
 Wear appropriate personal safety
equipment as protection.
 Wear car seat belts
 Use wrist guards for in-line skating and
skateboarding
 Wear appropriate pads for contact sports
 Prevent and treat osteoporosis