FOOSH It sounded like a fun thing at the time!
|
|
- Shanon Hodges
- 5 years ago
- Views:
Transcription
1 FOOSH It sounded like a fun thing at the time! Evaluating acute hand and wrist injuries Larry Collins, MPAS, PA-C, ATC, DFAAPA Assistant Professor, Physician Assistant Program Assistant Professor, Department of Orthopaedics & Sports Medicine USF Health, Morsani College of Medicine
2 Disclosures I have no real or apparent conflicts of interest to report
3 History What was the cause? What were the symptoms at the time of injury, did they occur later, were they localized or diffuse? Was there swelling and discoloration? What treatment was given and how does it feel now?
4 Observation Deformity Swelling Skin defect Range of motion Pain w/motion
5 Palpation Point of injury Proximal and distal Tenderness Deformity Edema Crepitus Changes in skin temperature false joint
6 Neurovascular Status Motor and sensory function Median, radial, and ulnar nerves Circulation Radial pulse Capillary refill
7 Distal Radius Fractures Common fracture in upper extremity Majority occur as isolated injuries Youths sports high-energy falls Seniors low-energy falls
8 Presentation Audible pop or crack followed by moderate to severe pain, swelling, and disability Proximal third radius fracture may result in abduction deformity due pull of pronator teres Edema, ecchymosis w/ possible crepitus Forward displacement of radius causing visible deformity (dinner fork deformity) When no deformity is present, injury can be passed off as bad sprain Tendons may be torn/avulsed and there may be median nerve damage
9 Radiographs Loss of normal anatomy Displacement Angulation radial height Involvement of radiocarpal or distal radioulnar joint Articular surface Step-off Separation Significant comminution
10 Management Adult RICE Splint Emergent orthopedic referral Open fractures Compression neuropathy Compartment syndrome Vascular compromise
11 Surgical vs. Non-Surgical Patient needs Bone quality Comorbidities Functional demand
12 Management Peds Urgent Referral Open fractures Neurovascular compromise Displaced radius with intact ulna Associated wrist or elbow dislocation Supracondylar fracture Radius fracture with dislocation of distal ulna (Galeazzi )
13 Non-displaced Extra-articular Fractures Stable Well-molded sugar-tong, or double sugar-tong splint Transition to cast 1-2 weeks Elevation Range of motion for shoulder and fingers Opioids as needed
14 Sugar-tong Splints
15 Referral Articular step-off Intraarticular displacement Displacement > 2/3 of radial shaft Comminution with radial shortening
16 Management Peds Refer displaced I or II and all III, IV, V
17 Management Peds Torus (buckle) fracture Stable Immobilization with splint or short-arm cast Non-displaced Salter-Harris I or II fractures Stable Immobilization with short arm splint x 3-4 weeks Volar splint for I; sugar-tong for II Sling for support Greenstick fracture Immobilization with cast x 6-8 weeks Distal short arm cast Proximal long arm cast x 3 then short arm
18 Wrist Sprains Etiology Most common wrist injury Arises from any abnormal, forced movement Falling on hyperextended wrist, violent flexion or torsion Signs and Symptoms Pain, swelling and difficulty w/ movement
19 Wrist Sprains Management RICE Splint NSAIDs ROM Begin strengthening soon
20 Triangular Fibrocartilage Complex (TFCC) Injury Etiology Occurs through forced hyperextension, falling on outstretched hand Violent twist or torque of the wrist Signs and Symptoms Pain along ulnar side of wrist, difficulty w/ wrist extension, possible clicking Swelling is possible, not much initially Pain increases with rotation and ulnar deviation of the wrist
21 Triangular Fibrocartilage Complex (TFCC) Injury
22 Examination Recreate symptoms with ulnar deviation and extension Axial loading with ulnar deviation Push-off test Getting out of chair with armrests
23 Management NSIADs Thumb spica splint or short arm cast x 4-6 weeks Surgical referral may be indicated
24 Scaphoid Fracture Common Often initially missed May fail to heal 2 poor blood supply Non-union Accessed 12/08/2018.
25 Scaphoid Fracture Signs and Symptoms Swelling Pain in anatomic snuff box Presents like wrist sprain Pain w/ radial flexion
26 Scaphoid Fracture Management High index of suspicion Consider MRI Splint Thumb spica Immobilization lasts 6 weeks Wrist requires protection against impact loading for 3 additional months
27 Indications For Surgical Referral Open Neurovascular compromise Proximal pole Displaced Patient preference Delayed presentation Scapholunate disruption Evidence of non-union or osteonecrosis
28 Scaphoid Fractures
29 Usefulness of MRI
30 Metacarpal Shaft Fractures Direct axial or compressive force 5th metacarpal fractures punch Boxer s fracture Signs and Symptoms Pain Swelling Crepitus Angular or rotational deformity
31 Rotational Deformity Accessed 12/11/2017.
32 Indications For Referral Open Intra-articular Rotational malalignment Significant displacement Multiple
33 Metacarpal Fracture Management Splint (include digits) MCP in flexion Cast after 1-2 weeks (leave PIP free) 6 weeks in cast? Transition to splint
34 5 th Metacarpal Fracture Management Stable Splint for pain Consider cast or splint
35 1st Metacarpal Fracture Bennett Fracture Base of 1 st metacarpal Result of an axial and abduction force to the thumb Signs and Symptoms Pain Swelling Inability to grip/pinch
36 Radiographs Intra-articular
37 1st Metacarpal Fracture High incidence OA Unstable Surgical referral Displacement Casting is option for non-displaced
38 Phalangeal Fractures Occurs from direct trauma or twist Spiral or angulated Signs and Symptoms Pain and swelling Possible deformity
39 Indications for Referral Open Neurovascular injury Intra-articular Rotated Shortened Comminuted
40 Management RICE and analgesics Non-displaced Transverse, oblique, or avulsion Buddy tape Consider gutter splint for function
41 Questions? Evaluating acute hand and wrist injuries Larry Collins, MPAS, PA-C, ATC, DFAAPA Assistant Professor, Physician Assistant Program Assistant Professor, Department of Orthopaedics & Sports Medicine USF Health, Morsani College of Medicine
FOOSH It sounded like a fun thing at the time!
FOOSH It sounded like a fun thing at the time! Evaluating acute hand and wrist injuries Larry Collins, MPAS, PA-C, ATC, DFAAPA Assistant Professor, Physician Assistant Program Assistant Professor, Department
More informationPediatric Fractures. Objectives. Epiphyseal Complex. Anatomy and Physiology. Ligaments. Bony matrix
1 Pediatric Fractures Nicholas White, MD Assistant Professor of Pediatrics Eastern Virginia Medical School Attending, Pediatric Emergency Department Children s Hospital of The King s Daughters Objectives
More informationHand and wrist emergencies
Chapter1 Hand and wrist emergencies Carl A. Germann Distal radius and ulnar injuries PEARL: Fractures of the distal radius and ulna are the most common type of fractures in patients younger than 75 years.
More informationThe Forearm, Wrist, Hand and Fingers. Contusion Injuries to the Forearm. Forearm Fractures 12/11/2017. Oak Ridge High School Conroe, Texas
The Forearm, Wrist, Hand and Fingers Oak Ridge High School Conroe, Texas Contusion Injuries to the Forearm The forearm is constantly exposed to bruising and contusions in contact sports. The ulna receives
More informationMontreal Children s Hospital McGill University Health Center Emergency Department Fracture Guideline
Montreal Children s Hospital McGill University Health Center Emergency Department Guideline Disclaimers This document is designed to assist physicians working in our emergency department in caring for
More informationUpper Extremity Fractures
Upper Extremity Fractures Ranie Whatley, RN,FNP-C David W. Gray, MD Skeletal Trauma 10 to 15 % of all Childhood Injuries Physeal (Growth Plate) Injuries are ~ 15% of all Skeletal Injuries Orthopaedic Assessment
More informationBasic Care of Common Fractures Utku Kandemir, MD
Basic Care of Common Fractures Utku Kandemir, MD Assistant Clinical Professor Trauma & Sports Medicine Dept. of Orthopaedic Surgery UCSF / SFGH History Physical Exam Radiology Treatment History Acute trauma
More informationGoals. Initial management skeletal trauma. Physical Exam ABC OF PRIMARY CARE MEDICINE FRACTURE MANAGEMENT 12/4/2010
ABC OF PRIMARY CARE MEDICINE FRACTURE MANAGEMENT Brian Feeley, MD UCSF Sports Medicine and Shoulder Surgery Goals Discuss common fractures and initial management, treatment guidelines Let your patients
More informationTrauma-related Pediatric Orthopedic Emergencies. Javier Gonzalez del Rey, M.D. Professor Pediatrics Cincinnati Children s Hospital Medical Center
Trauma-related Pediatric Orthopedic Emergencies Javier Gonzalez del Rey, M.D. Professor Pediatrics Cincinnati Children s Hospital Medical Center Room # 10 7 month old sick since birth Room # 11 5 y/o Fell
More informationUpper Extremity Injury Management. Jonathan Pirie MD, Med, FRCPC, FAAP
Upper Extremity Injury Management Jonathan Pirie MD, Med, FRCPC, FAAP Learning Objectives At the end of this session, you will be able to manage common fractures of the: 1. Humerus 2. Elbow 3. Forearm
More informationKristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville Trauma/Fractures
WRIST/HAND PATHOLOGY Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 Trauma/Fractures Hook of Hamate Fractures Triangular Fibrocartilage Complex (TFCC)
More informationTrauma/Fractures WRIST/HAND PATHOLOGY. TFCC Injury. Hook of Hamate Fracture. Property of VOMPTI, LLC
WRIST/HAND PATHOLOGY Kristin Kelley, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 Trauma/Fractures Hook of Hamate Fractures Triangular Fibrocartilage Complex (TFCC)
More informationWrist and Hand Complaints
Wrist and Hand Complaints Charles S. Day, M.D., M.B.A. Chief, Hand & Upper Extremity Surgery St. Elizabeth s Medical Center Tufts University School of Medicine Primary Care Internal Medicine 2018 Outline
More informationBCCH Emergency Department UPPER LIMB INJURIES Resource pack Developed by: RENA HEATHCOTE RN
- 1 - BCCH Emergency Department UPPER LIMB INJURIES Resource pack Developed by: RENA HEATHCOTE RN - 2 - FRACTURES The shoulder Dislocation +/_ fracture of humeral head A dislocated shoulder generally follows
More informationScaphoid Fractures. Mohammed Alasmari. Orthopaedic Surgery Demonstrator Majmaah University
Scaphoid Fractures Mohammed Alasmari Orthopaedic Surgery Demonstrator Majmaah University 1 2 Scaphoid Fractures Introduction Anatomy History Clinical examination Radiographic evaluation Classification
More informationACUTE HAND INJURIES FOR THE PRIMARY CARE PHYSICIAN
Vincent Shaw, MD, FAAFP Program Director Baton Rouge General Family Medicine Residency Program Baton Rouge General Sports Medicine Fellowship ACUTE HAND INJURIES FOR THE PRIMARY CARE PHYSICIAN Disclosures
More informationAcute Wrist Injuries OUCH!
Acute Wrist Injuries OUCH! Case the athlete FOOSH from sporting event 2 days ago C/O wrist swelling, pain, worse with movement Hmmm Wrist pain Exam of the wrist - basics Appearance Swelling, bruising,
More informationSick Call Screener Course
Sick Call Screener Course Musculoskeletal System Upper Extremities (2.7) 2.7-2-1 Enabling Objectives 1.46 Utilize the knowledge of musculoskeletal system anatomy while assessing a patient with a musculoskeletal
More informationOBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries. Differentiate when an orthopedic injury is a medical emergency
1 2 How to Triage Orthopaedic Care David W. Gray, M.D. OBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries Differentiate when an orthopedic injury is a medical emergency
More informationClinical Orthopaedic Rehabilitation Volume 1 and 2
Clinical Orthopaedic Rehabilitation Volume 1 and 2 COURSE DESCRIPTION This program is a practical, clinical guide that provides guidance on the evaluation, differential diagnosis, treatment, and rehabilitation
More informationPediatric Injuries/Fractures. Rena Heathcote
Pediatric Injuries/Fractures Rena Heathcote INTRODUCTION Incidence Anatomy of the Growing Bone Injury Patterns What can we X-ray PEDIATRIC FRACTURES INCIDENCE What makes children susceptible to fractures?
More informationCHAPTER 6: THE UPPER EXTREMITY: THE ELBOW, FOREARM, WRIST, AND HAND
CHAPTER 6: THE UPPER EXTREMITY: THE ELBOW, FOREARM, WRIST, AND HAND KINESIOLOGY Scientific Basis of Human Motion, 12 th edition Hamilton, Weimar & Luttgens Presentation Created by TK Koesterer, Ph.D.,
More informationHand Fractures: When is closed treatment OK? Epidemiology in USA: Metacarpal fractures: Page 1
Hand Fractures: When is closed treatment OK? Robert J Strauch MD Professor of Orthopaedic Surgery Columbia University New York City Epidemiology in USA: 2009 Distal radius fx s: 16/10,000 Phalangeal fx
More information11/5/14. I will try to make this painless. Great, a Fracture, Now What? Objectives. Basics for Fracture Workup. Basics for Fracture Workup
Great, a Fracture, Now What? I will try to make this painless Mary Greve MS, PA-C Department of Orthopedic Surgery Trauma Team University of Iowa Hospitals and Clinics Mary-Greve@uiowa.edu Pager 2121 Objectives
More informationCOURSE TITLE: Skeletal Anatomy and Fractures of the Lower Arm, Wrist, and Hand
COURSE DESCRIPTION Few parts of the human body are required to pivot, rotate, abduct, and adduct like the wrist and hand. The intricate and complicated movements of the arm, wrist, and hand exist partly
More informationNursing Management: Musculoskeletal Trauma and Orthopedic Surgery. By: Aun Lauriz E. Macuja SAC_SN4
Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery By: Aun Lauriz E. Macuja SAC_SN4 The most common cause of musculoskeletal injuries is a traumatic event resulting in fracture, dislocation,
More informationGALEAZZI FRACTURE. Galeazzi fracture-dislocations can be difficult to recognize and are often not initially appreciated.
GALEAZZI FRACTURE Introduction In the Galeazzi fracture-dislocation there is a fracture of the distal third of the shaft of the radius in association with a subluxation or dislocation of the distal radio-ulna
More informationPEM GUIDE CHILDHOOD FRACTURES
PEM GUIDE CHILDHOOD FRACTURES INTRODUCTION Skeletal injuries account for 10-15% of all injuries in children; 20% of those are fractures, 3 out of 4 fractures affect the physis or growth plate. Always consider
More informationCASE ONE CASE ONE. RADIAL HEAD FRACTURE Mason Classification. RADIAL HEAD FRACTURE Mechanism of Injury. RADIAL HEAD FRACTURE Imaging
CASE ONE An eighteen year old female falls during a basketball game, striking her elbow on the court. She presents to your office that day with a painful, swollen elbow that she is unable to flex or extend
More informationSurgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE
Surgical Care at the District Hospital 1 18 Orthopedic Trauma Key Points 2 18.1 Upper Extremity Injuries Clavicle Fractures Diagnose fractures from the history and by physical examination Treat with a
More informationOther Upper Extremity Trauma. Inje University Sanggye Paik Hospital Yong-Woon Shin
Other Upper Extremity Trauma Inje University Sanggye Paik Hospital Yong-Woon Shin Forearm Fractures Forearm fractures - the most common orthopaedic injuries in children - 30-50% of all pediatric fractures
More informationFractures and dislocations around elbow in adult
Lec: 3 Fractures and dislocations around elbow in adult These include fractures of distal humerus, fracture of the capitulum, fracture of the radial head, fracture of the olecranon & dislocation of the
More informationCommon. Common Hand Problems in Elite Athletes
Common Hand Problems in Elite Athletes Fred Corley M.D. Dept. of Orthopaedic Surgery UTHSCSA I have no disclosures concerning this talk. The University of Texas Health Science Center @ San Antonio - Orthopaedics
More informationHow to Triage Orthopaedic Care. David W. Gray, M.D.
How to Triage Orthopaedic Care David W. Gray, M.D. OBJECTIVES: Define basic assessments skills needed to identify orthopedic injuries Differentiate when an orthopedic injury is a medical emergency Determine
More informationChapter XIX.1. Fractures May 2002
Case Based Pediatrics For Medical Students and Residents Department of Pediatrics, University of Hawaii John A. Burns School of Medicine Chapter XIX.1. Fractures May 2002 Annemarie Uliasz The skeletal
More information16 th Annual Primary Care & Sports Medicine Symposium January 29th, 2016
To help protect your privacy, PowerPoint has blocked automatic download of this picture. 16 th Annual Primary Care & Sports Medicine Symposium January 29th, 2016 Excellence in Orthopaedics Through Education
More informationCOMMON CARPAL INJURIES IN ATHLETES Nicholas A. Bontempo, MD Orthopedic Associates of Hartford I HAVE NO CONFLICTS OR DISCLOSURES TO REPORT OUTLINE
COMMON CARPAL INJURIES IN ATHLETES Nicholas A. Bontempo, MD Orthopedic Associates of Hartford I HAVE NO CONFLICTS OR DISCLOSURES TO REPORT OUTLINE The carpus Scaphoid fracture Scapholunate ligament tear
More informationElbow/Wrist/Hand Pointers
Elbow/Wrist/Hand Pointers Elbow Injuries -break elbow into 4 quadrants -Lateral -Medial -Posterior -Anterior 1. Lateral Epicondylosis (Tennis Elbow) a. extensor supinator tendinopathy b. repetitive gripping/wrist
More informationShaun P. Garff, DO Physician of Sports Medicine
Shaun P. Garff, DO Physician of Sports Medicine Speaker Disclosure I have no actual or potential conflicts of interest to disclose as it relates to this presentation. A little about me Born and raised
More informationHand & Wrist Injuries. DR MA Manjra
Hand & Wrist Injuries DR MA Manjra 1 Background Up to 25% of all athletic injuries General population Sport people Sport specific Position specific Multifaceted Time of season Level of athlete Parents
More informationManagement of Wrist and Hand Injuries
Sunday General Session Management of Wrist and Hand Injuries Shaun Garff, DO Sports Medicine Physician Methodist Health System Dallas, Texas Educational Objectives By the end of this educational activity,
More informationFractures of the Hand in Children Which are simple? And Which have pitfalls??
Fractures of the Hand in Children Which are simple? And Which have pitfalls?? Kaye E Wilkins DVM, MD Professor of Orthopedics and Pediatrics Departments of Orthopedics and Pediatrics University of Texas
More information9/22/14. ! None. ! Provides non- circumferential support! Accommodates swelling! Useful for acute injuries! Held in place by elastic bandage
Britt Marcussen, MD Sports Medicine University of Iowa! None! 1. Discuss indications for splinting! 2. Discuss advantages/disadvantages of splints! 3. Go through splinting materials! 4. Discuss casting
More informationA Patient s Guide to Adult Distal Radius (Wrist) Fractures
A Patient s Guide to Adult Distal Radius (Wrist) Fractures Suite 11-13/14/15 Mount Elizabeth Medical Center 3 Mount Elizabeth Singapore, 228510 Phone: (65) 6738 2628 Fax: (65) 6738 2629 1 DISCLAIMER: The
More informationHand injuries. The metacarpal bones may fracture through the base, shaft or the neck.
Hand injuries Metacarpal injuries The metacarpal bones may fracture through the base, shaft or the neck. Shaft fractures; these are caused by direct trauma which may cause transverse # of one or more metacarpal
More informationPractice Changes I Hope You Make
Is that Bad? What PCPs (& Parents) Need to Know about Fractures Aharon Z. Gladstein, MD Pediatric Orthopaedics & Sports Medicine Texas Children s Hospital Assistant Professor, Orthopaedics Baylor College
More informationTrauma Films for Upper Body. LCDR. Naruebade Rungrattanawilai RTN M.D., LL.B. FRCOST, DMOC
Trauma Films for Upper Body LCDR. Naruebade Rungrattanawilai RTN M.D., LL.B. FRCOST, DMOC Objective A 42 year-old housekeeper with history of motorcycle accident. There was no external wound but she have
More informationSPORTS INJURIES IN HAND
Grundkurs SGSM-SSMS Sion 2015 SPORTS INJURIES IN HAND Dr S. KŠmpfen EPIDEMIOLOGY Incidence of hand, finger and wrist injuries in sports : 3% Ð 9 % RADIAL-SIDED WRIST PAIN 1)! Distal Radius Fractures 2)!
More information1 Chapter 29 Orthopaedic Injuries Principles of Splinting 2 Types of Muscles. Striated Skeletal. Smooth
1 Chapter 29 Orthopaedic Injuries Principles of Splinting 2 Types of Muscles Striated Skeletal Smooth 3 Anatomy and Physiology of the Musculoskeletal System 4 Skeletal System 5 Skeletal System Functions
More informationSt Mary Orthopaedic Conference. Steven A. Caruso, MD Trenton Orthopaedic Group Trauma and Complex Fracture Surgeon October 25, 2014
St Mary Orthopaedic Conference Steven A. Caruso, MD Trenton Orthopaedic Group Trauma and Complex Fracture Surgeon October 25, 2014 Nothing to disclose Goals To discuss common orthopaedic pathologies and
More informationChapter 29 Orthopaedic Injuries Principles of Splinting Types of Muscles
1 2 3 4 5 6 7 Chapter 29 Orthopaedic Injuries Principles of Splinting Types of Muscles Striated Skeletal Smooth Anatomy and Physiology of the Musculoskeletal System Skeletal System Skeletal System Functions
More informationSports Medicine Unit 16 Elbow
Sports Medicine Unit 16 Elbow I. Bones a. b. c. II. What movements does the elbow perform? a. Flexion b. c. Pronation d. III. Muscles in motion a. FLEXION (supinated) i Brachialis (pronated) ii (neutral)
More informationHUMERAL SHAFT FRACTURES. Fractures of the shaft of the humerus are common, especially in the elderly.
HUMERAL SHAFT FRACTURES Introduction Fractures of the shaft of the humerus are common, especially in the elderly. The majority can be treated conservatively but patient coping issues may be significant.
More informationExam of the Injured Hand and Wrist. Christina M. Ward, MD Regions Hospital TRIA Woodbury
Exam of the Injured Hand and Wrist Christina M. Ward, MD Regions Hospital TRIA Woodbury Disclosures We have no disclosures that are pertinent to this presentation Terminology Ring Long Index Small Thumb
More informationCase. Case 8/29/ yo man with fever, cough. Vitals: Temp 102, HR 130, RR 20, bp 120/80. Ill appearing, crackles R side chest. Now what?
Kate Aberger, MD August 28, 2016 Help from : Raphael Brancato DO, and Jordan Jeong DO Case 56 yo man with fever, cough Vitals: Temp 102, HR 130, RR 20, bp 120/80 Ill appearing, crackles R side chest Now
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 10/13/2012 Radiology Quiz of the Week # 94 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
More information1. A 40-year-old male has dislocated his right 2 nd MCP. You have pulled as hard as you can but cannot reduce the dislocation. The problem is likely:
CHAPTER 50 HAND 2 OCTOBER 2013 1. A 40-year-old male has dislocated his right 2 nd MCP. You have pulled as hard as you can but cannot reduce the dislocation. The problem is likely: A. He is a gamer and
More informationFractures of the shoulder girdle, elbow and fractures of the humerus. H. Sithebe 2012
Fractures of the shoulder girdle, elbow and fractures of the humerus H. Sithebe 2012 Fractures of the Clavicle (mid-shaft). Fractures of the clavicle Fractures of the clavicle Treatment- conservative.
More informationOuch, That s Gotta Hurt! Pediatric Fractures & Injuries
Ouch, That s Gotta Hurt! Pediatric Fractures & Injuries Greg Canty, MD Medical Director, Sports Medicine Center Attending Physician, Emergency Medicine Children s Mercy Kansas City 2011 Children s Mercy
More information1 Humeral fractures 1.13 l Distal humeral fractures Treatment with a splint
1 Executive Editor: Chris Colton Authors: Mariusz Bonczar, Daniel Rikli, David Ring 1 Humeral fractures 1.13 l Distal humeral fractures Treatment with a splint Indication All 13-A type fractures, excluding
More informationOffice Orthopedics. No conflict of interest No financial disclosures 1/31/2018
Office Orthopedics Amin Afsari DO Orthopedic Hand and Upper Extremity Surgery Orthopedic Institute of Wisconsin Midwest Orthopedic Specialty Hospital 1 No conflict of interest No financial disclosures
More informationCommon Limb Fractures. Mr Sheraz Malik MB BS MRCS Instructor Mr Paul Ofori-Atta Mb ChB FRCS President Motc Life UK April 2009
Common Limb Fractures Mr Sheraz Malik MB BS MRCS Instructor Mr Paul Ofori-Atta Mb ChB FRCS President Motc Life UK April 2009 Objectives To be able to describe all characteristics of a fracture Describe
More informationUPPER EXTREMITY INJURIES. Recognizing common injuries to the upper extremity
UPPER EXTREMITY INJURIES Recognizing common injuries to the upper extremity ANATOMY BONES Clavicle Scapula Spine of the scapula Acromion process Glenoid fossa/cavity Humerus Epicondyles ANATOMY BONES Ulna
More informationHand & Wrist Casey G. Batten MD Assistant Clinical Professor UCSF Sports Medicine
Hand & Wrist Casey G. Batten MD Assistant Clinical Professor UCSF Sports Medicine Topics: Scaphoid Fracture Scapholunate Separation TFCC Injury Thumb Ulnar Collateral Lig (UCL) Injury Extensor Injury /
More informationSNAP, CRACKLE, POP. Randy L Aldret, EdD, ATC, LAT Stephanie Aldret, DO, CAQSM OOA Winter CME Seminar January 26, 2018
SNAP, CRACKLE, POP Randy L Aldret, EdD, ATC, LAT Stephanie Aldret, DO, CAQSM OOA Winter CME Seminar January 26, 2018 1 OBJECTIVES Review terms to describe fractures Identify fractures that can be treated
More informationChapter 51 Wrist and Forearm Episode Overview
Chapter 51 Wrist and Forearm Episode Overview 1) Describe normal radiographic relationships: a. Radial length measurement b. Radial inclination c. Volar Tilt d. Scapholunate angle e. Capitolunate angle
More informationIntroduction to Fractures. Traumatology RHS 231 Dr. Einas Al-Eisa Lecture 3
Introduction to Fractures Traumatology RHS 231 Dr. Einas Al-Eisa Lecture 3 Definitions A fracture is an interruption in the continuity of bone Fracture = Break Fracture: mechanical damage produced in a
More informationRehabilitation after Total Elbow Arthroplasty
Rehabilitation after Total Elbow Arthroplasty Total Elbow Atrthroplasty Total elbow arthroplasty (TEA) Replacement of the ulnohumeral articulation with a prosthetic device. Goal of TEA is to provide pain
More informationThe Painful Elbow, Wrist, and Hand. Jennifer R Marks, MD
The Painful Elbow, Wrist, and Hand Jennifer R Marks, MD The Painful Elbow A 44 yo M presents to clinic complaining of a sore elbow What further questions do you have for this patient? What is on your differential
More information8 Recovering From HAND FRACTURE SURGERY
8 Recovering From HAND FRACTURE SURGERY Hand fractures are caused by trauma and result in breaking (fracturing) the phalanges or metacarpals. Surgery involves achieving acceptable alignment and providing
More informationPaediatric fractures in the Emergency Department. October 2012
Paediatric fractures in the Emergency Department October 2012 Victorian Paediatric Orthopaedic Network What this presentation covers Paediatric bone anatomy Buckle injury of distal radius Supracondylar
More informationOrthopedic Injuries and Immobilization.
Orthopedic Injuries and Immobilization www.fisiokinesiterapia.biz History and Physical Exam Immediately upon presentation with a dislocation or fracture, the neurovascular and circulatory status must be
More information7/23/2018 DESCRIBING THE FRACTURE. Pattern Open vs closed Location BASIC PRINCIPLES OF FRACTURE MANAGEMENT. Anjan R. Shah MD July 21, 2018.
BASIC PRINCIPLES OF FRACTURE MANAGEMENT Anjan R. Shah MD July 21, 2018 DESCRIBING THE FRACTURE Pattern Open vs closed Location POLL OPEN HOW WOULD YOU DESCRIBE THIS FRACTURE PATTERN? 1 Spiral 2 Transverse
More informationFinger Mobility Deficits Fracture of metacarpal Fracture of phalanx of phalanges
1 Finger Mobility Deficits ICD-9-CM codes: 715.4 Osteoarthrosis of the hand 815.0 Fracture of metacarpal 816.0 Fracture of phalanx of phalanges ICF codes: Activities and Participation code: d4301 Carrying
More informationPEDIATRIC CASTING AND SPLINTING HEATHER KONG, M.D. SHRINERS HOSPITAL FOR CHILDREN PORTLAND OCTOBER 7, 2017
PEDIATRIC CASTING AND SPLINTING HEATHER KONG, M.D. SHRINERS HOSPITAL FOR CHILDREN PORTLAND OCTOBER 7, 2017 DISCLOSURES I have no financial relationship with any company or product discussed in this presentation.
More informationFINGER INJURIES. Chapter 24, pgs ,
FINGER INJURIES Chapter 24, pgs 727 730, 741 743 1. Demonstrate mastery of anatomical references to the hand and fingers. 2. Compare and contrast Mallet Finger, Swan Neck Deformity and Boutonnière Deformity.
More informationArm Injuries and Disorders
Arm Injuries and Disorders Introduction Your arms are made up of muscles, joints, tendons and other connective tissue. There are many injuries and disorders that can affect the arm. Some arm injuries and
More informationBone Injuries and Treatment. Fractures and Dislocations
Bone Injuries and Treatment Fractures and Dislocations Bellwork Research the small bones in the foot and wrist. Draw them in your notes. State Standards 16) Understand principles of and successfully perform
More informationLigaments of Elbow hinge: sagittal plane so need lateral and medial ligaments
Ligaments of Elbow hinge: sagittal plane so need lateral and medial ligaments Ulnar Collateral ligament on medial side; arising from medial epicondyle and stops excess valgus movement (lateral movement)
More informationSCAHPO-LUNATE DISSOCIATION
SCAHPO-LUNATE DISSOCIATION Introduction Scapho-lunate dissociation is the most common significant ligamentous injury of the wrist. The condition is also sometimes referred to as rotary subluxation of the
More informationTRIQUETRUM FRACTURE. The triquetrum bone is one of the small bones that make up the carpus.
TRIQUETRUM FRACTURE Introduction The triquetrum bone is one of the small bones that make up the carpus. It is also known as the triquetral bone, (and in the past the pyramidal or triangular bone) Triquetrum
More informationRADIOGRAPHY OF THE HAND, FINGERS & THUMB
RADIOGRAPHY OF THE HAND, FINGERS & THUMB FINGERS (2nd 5th) - PA Projection Patient Position: Seated; hand ; elbow on IR table top Part Position: Fingers centered to IR unless protocol is Central Ray: Perpendicular
More informationPRESENTED BY: JOHN STIMLER, DO, CPC, CHC, FACEP BSA HEALTHCARE AND BSA HEALTHCARE ADVISORY GROUP
PRESENTED BY: JOHN STIMLER, DO, CPC, CHC, FACEP BSA HEALTHCARE AND BSA HEALTHCARE ADVISORY GROUP TOPICS (1) Fracture types ICD-10-CM diagnostic coding CPT procedure coding Fracture care treatments: Manipulated
More informationResearch Article How Early Can We Mobilise 4 th And 5 th Metacarpal Shaft Fractures? A Retrospective Study
Cronicon OPEN ACCESS ORTHOPAEDICS Research Article How Early Can We Mobilise 4 th And 5 th Metacarpal Shaft Fractures? A Retrospective Study Mohammed KM Ali 1, Abid Hussain 1, CA Mbah 1, Alaa Mustafa 1,
More informationWorkplace Hand Injuries & Disorders: Evaluation and Treatments. Hervey L. Kimball MD, MS Hand Surgical Associates Occupational Medicine Center
Workplace Hand Injuries & Disorders: Evaluation and Treatments Hervey L. Kimball MD, MS Hand Surgical Associates Occupational Medicine Center Outline Hand Anatomy and Function Workplace injuries & Case
More informationPediatric Upper Extremity Injuries. Andrew Westbrook, DO
Pediatric Upper Extremity Injuries Andrew Westbrook, DO Case #1 12 yo male who presents to sports medicine clinic due to right shoulder pain Pain started 3 days ago during a baseball game when he was playing
More informationOrthopedic Emergencies. Peter Gutierrez, MD Pediatric Emergency Medicine Children s Healthcare of Atlanta
Orthopedic Emergencies Peter Gutierrez, MD Pediatric Emergency Medicine Children s Healthcare of Atlanta Disclosures I have no relevant financial relationships to disclose I do not intend to discuss unapproved
More informationElbow, Wrist & Hand Evaluation.
Elbow, Wrist & Hand Evaluation www.fisiokinesiterapia.biz Common Injuries to the Elbow, Wrist, Hand & Fingers Lateral epicondylitis tennis elbow Medial epicondylitis golfer s s elbow, little league elbow
More informationUpper Extremity Trauma.
Upper Extremity Trauma www.fisiokinesiterapia.biz Topics Clavicle Shoulder Dislocation Humerus Elbow Forearm Distal Radius Clavicle Fractures Clavicle Fractures Mechanism Fall onto shoulder (87%) Direct
More informationPEDIATRIC UPPER EXTREMITY FRACTURE MANAGEMENT JULIA RAWLINGS, MD SPORTS MEDICINE SYMPOSIUM: THE PEDIATRIC ATHLETE 2 MARCH 2018
PEDIATRIC UPPER EXTREMITY FRACTURE MANAGEMENT JULIA RAWLINGS, MD SPORTS MEDICINE SYMPOSIUM: THE PEDIATRIC ATHLETE 2 MARCH 2018 DISCLOSURE I have nothing to disclose. 2 OBJECTIVES Discuss the diagnosis,
More informationMANAGEMENT OF INTRAARTICULAR FRACTURES OF ELBOW JOINT. By Dr B. Anudeep M. S. orthopaedics Final yr pg
MANAGEMENT OF INTRAARTICULAR FRACTURES OF ELBOW JOINT By Dr B. Anudeep M. S. orthopaedics Final yr pg INTRAARTICULAR FRACTURES Intercondyar fracture Elbow dislocation Capitellum # Trochlea # Radial head
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Abscess, epidural, 822 824 Achilles tendon rupture, 894 895, 981 982 Acromioclavicular separations, shoulder pain in, 751 753 Adhesive capsulitis,
More informationHand Anatomy A Patient's Guide to Hand Anatomy
Hand Anatomy A Patient's Guide to Hand Anatomy Introduction Few structures of the human anatomy are as unique as the hand. The hand needs to be mobile in order to position the fingers and thumb. Adequate
More informationAcute Care Splinting & Casting. FACULTY: Tom Gocke, PA-C Lucy Yang, PA-C
Acute Care plinting & Casting FACULTY: Tom Gocke, PA-C Lucy Yang, PA-C Disclosure Tom Gocke, M, ATC, PA-C, DFAAPA AAPA Intellectual Property Orthopaedic Educational ervices, Inc. Owner/Royalties/Intellectual
More informationLink to related CJSM article: ts Frequency_and.5.
Link to related CJSM article: https://journals.lww.com/cjsportsmed/abstract/2002/11000/wrist_pain_in_young_gymnas ts Frequency_and.5.aspx Link to related case: https://www.amssm.org/when_a_quot%3bsimple_fractur-csa-437.html?startpos=0&part=
More informationBASIC PRINCIPLES OF HAND TRAUMA: ARE CHILDREN DIFFERENT? SUSAN THOMPSON, MD, FRCSC
BASIC PRINCIPLES OF HAND TRAUMA: ARE CHILDREN DIFFERENT? SUSAN THOMPSON, MD, FRCSC EPIDEMIOLOGY HAND FRACTURES MAKE UP 2.3% OF ER VISITS INCIDENCE VARIES WITH AGE LOW IN TODDLERS INCREASES WITH AGE (20
More information1/19/2018. Winter injuries to the shoulder and elbow. Highgate Private Hospital (Whittington Health NHS Trust)
Winter injuries to the shoulder and elbow Omar Haddo Consultant Orthopaedic Surgeon, Shoulder, Elbow, Hand & Wrist Specialist MBBS, BmedSci, FRCS(Orth) Highgate Private Hospital (Whittington Health NHS
More informationREHABILITATION FOR SHOULDER FRACTURES & SURGERIES. Clavicle fractures Proximal head of humerus fractures
REHABILITATION FOR SHOULDER FRACTURES & SURGERIES Clavicle fractures Proximal head of humerus fractures By Dr. Mohamed Behiry Lecturer Department of physical therapy for Orthopaedic and its surgery. Delta
More informationIndex. Note: Page numbers of article titles are in boldface type. Hand Clin 21 (2005)
Hand Clin 21 (2005) 501 505 Index Note: Page numbers of article titles are in boldface type. A Antibiotics, following distal radius fracture treatment, 295, 296 Arthritis, following malunion of distal
More informationTHE EPIDEMIOLOGY OF HAND EMERGENCIES
THE EPIDEMIOLOGY OF HAND EMERGENCIES Dr. Adel Abdel Aziz Senior Emergency Physician Honorary Senior Clinical Lecturer, University of Southampton Training Program Director Emergency Medicine/ Health Education
More information