Wrist Fractures. Wrist Defined: Carpal Bones Distal Radius Distal Ulna
|
|
|
- Isabel Rosa Sutton
- 8 years ago
- Views:
Transcription
1 Wrist Fractures
2 Wrist Fractures Wrist Defined: Carpal Bones Distal Radius Distal Ulna
3 Wrist Fractures Wrist Joints: CMC Intercarpal Radiocarpal DRUJ drudge
4 Wrist Fractures Wrist Fractures: (that we are going to discuss) Scaphoid Distal Radius Distal Ulna
5 Wrist Fractures: Scaphoid Scaphoid Fx
6 Wrist Fractures: Scaphoid Fate of Nonunions: Mack Years: Pan Carpal Arthritis Ruby % DJD If Nonunion > 5 Years Duppe 1994 Arthritis Symptomatic United 1/47 3/47 Ununited 4/9 5/9
7 Wrist Fractures: Scaphoid 1 3 2
8 Wrist Fractures: Scaphoid 4 5
9 Wrist Fractures: Scaphoid Suspect Scaphoid Fx s s!!! Hx : Fall on Outstretched Hand Pain : anatomic snuffbox Pain : with scaphoid compression Xray : Normal
10 Wrist Fractures: Scaphoid Suspect Scaphoid Fx s s!!! Over treat : Short Arm Thumb Spica Re Xray : Two Weeks (AP, Lat, Scaphoid Oblique)
11 Wrist Fractures: Scaphoid Suspect Scaphoid Fx s s!!! I I gotta know and money is no object MR Scan will be positive within hours Bone Scan will be positive within days
12 Wrist Fractures: Scaphoid Scaphoid Fx : Fx line visible, No displacement Rx: long vs short arm thumb spica
13 Wrist Fractures: Scaphoid Scaphoid Fx : Fx line visible & Fx displaced Rx: Consider ORIF Need for fixation is relative to Fx location
14 Wrist Fractures: Scaphoid
15 Wrist Fractures: Scaphoid
16 Wrist Fractures: Scaphoid 1. Tubercle Fx Rx: Splint 2. Waist Fx 1 Rx: >1mm Displaced ORIF Proximal Pole Rx: You see it You fix it
17 Wrist Fractures: Scaphoid 36 weeks
18 Wrist Fractures: Scaphoid Another weeks?
19 Wrist Fractures: Scaphoid 2 weeks in splint 10% motion loss, no strength loss 6 wks post
20 Wrist Fractures: Scaphoid Non union: A Simple Problem Made Difficult
21 Wrist Fractures: Scaphoid Bone Graft Technically demanding
22 Wrist Fractures: Scaphoid Bone Graft 1 year of wrist protection 1 year limited use 30% motion loss 30% strength loss
23 Wrist Fractures: Scaphoid Conclusions: In most cases Non Op Rx is truly radical & Op Rx is conservative
24 Wrist Fractures: Scaphoid Refer Early!
25 Wrist Fractures: Distal Radius after a period time.all do well Abraham Colles
26 Wrist Fractures: Distal Radius after a period time.all do well Abraham Colles
27 Wrist Fractures: Distal Radius Distal radius fx s s differ in: Mechanism of injury Energy of injury Articular involvement Associated Injuries
28 Wrist Fractures: Distal Radius Simple Bending
29 Wrist Fractures: Distal Radius Compression: Most Common Low & high Energy
30 Wrist Fractures: Distal Radius Shearing: Inherently Unstable
31 Wrist Fractures: Distal Radius Fx Dislocation: Deceptively Simple
32 Wrist Fractures: Distal Radius Combined Complex: High Energy Comminuted Open
33 Wrist Fractures: Distal Radius Treatment Goals Begin with the end in mind! David Covey
34 Wrist Fractures: Distal Radius Treatment Goals Radial incl > 5 5 Tilt neutral + Length neutral Gaps < 2 mm Step off < 2 mm Stable DRUJ
35 Wrist Fractures: Distal Radius Treatment Based On: Demand Low Demand: Minimal Treatment High Demand: CRPP vs ORIF
36 Wrist Fractures: Distal Radius Treatment Based On: Three Xray Parameters Metaphyseal Stability Articular Step Off / Gaps DRUJ Stability (after radius fixation)
37 Wrist Fractures: Distal Radius What is stable? 1. Easily Reduced 2. Transverse Fx Pattern 3. Minimal Dorsal Comminution 4. No Articular Step Off 5. Maintains Reduction: > 3 Weeks
38 Wrist Fractures: Distal Radius What is Unstable? 1. Can t t Reduce
39 Wrist Fractures: Distal Radius What is Unstable? 1. Can t t Reduce 2. Lose Reduction
40 Wrist Fractures: Distal Radius What is Unstable? 1. Can t t Reduce 2. Lose Reduction 3. Comminution > 1/3 AP Diameter
41 Wrist Fractures: Distal Radius What is Unstable? 1. Can t t Reduce 2. Lose Reduction 3. Comminution > 1/3 AP Diameter 4. >20 Degrees Dorsal Tilt (prior to reduction)
42 Wrist Fractures: Distal Radius What is Unstable? 1. Can t t Reduce 2. Lose Reduction 3. Comminution > 1/3 AP Diameter 4. >20 Degrees Dorsal Tilt 5. Volar Obliquity
43 Wrist Fractures: Distal Radius What is Displaced? > 2mm Measurable Articular Step Off
44 Wrist Fractures: Distal Radius Treatment? All stable fx s s can be treated in cast / splints All unstable fx s s require interventions Closed reduction ± Percut Pins ± Ex Fx ± Open Reduction ± Plates ± Bone Graft
45 Wrist Fractures: Distal Radius Closed Reduction: Longitudinal Txn Palmar Translation Pronation Hand relative to Forearm Ulnar Tilt NO Wrist Flexion!!!! modified from John Agee M.D.
46 Wrist Fractures: Distal Radius Longitudinal Txn
47 Wrist Fractures: Distal Radius Palmar Translation Pronation Hand Relative to Forearm Ulnar Tilt
48 Wrist Fractures: Distal Radius Treatment? All stable fx s s can be treated in cast / splints All unstable fx s s require interventions Closed reduction ± Percut Pins ± Ex Fx ± Open Reduction ± Plates ± Bone Graft
49 Wrist Fractures: Distal Radius Treatment?
50 Wrist Fractures: Distal Radius Treatment
51 Wrist Fractures: Distal Radius Treatment
52 Wrist Fractures: Distal Radius Treatment
53 Wrist Fractures: Distal Radius Treatment?
54 Wrist Fractures: Distal Radius Treatment
55 Wrist Fractures: DRUJ
56 Wrist Fractures: DRUJ Treatment of Unstable DRUJ: Address Radius First Then Assess DRUJ Fix if Necessary
57 Wrist Fractures Caveats: 1. R/O Carpal Tunnel Syndrome 2. Excessive Pain = RSD 3. Most Common Cause of RSD Undiagnosed CTS & A Flexed Wrist
58 Wrist Fractures Caveats: Post Injury Care 1. Keep those fingers moving Full extension to full flexion 2. Keep the hand elevated above heart until swelling subsides 3. If you immobilize above the elbow do so with the forearm in supination
59 Wrist Fractures Caveats: Post Injury Care If you can t t do the above with a cast then your patient is best served with Fx fixation.
60 Wrist Fractures Caveats: Post Injury Expectations Following the above guidelines DRUJ pain 8 mo s Maximum Improvement 18 mo s ROM 80% Grip 80%
61 Wrist Fractures Thank You
Fractures around wrist
Fractures around wrist Colles Fracture Smiths fracture Barton s fracture Chauffer s fracture Scaphoid fracture Lunate dislocation Vivek Pandey Colles fracture Definition: Fracture of the distal end radius
The 10 Most Common Hand Pathologies In Adults. 1. Carpal Tunnel and Cubital Tunnel
The 10 Most Common Hand Pathologies In Adults Bobbi Jacobsen PA C 1. Carpal Tunnel and Cubital Tunnel CARPAL TUNNEL (median nerve) ( ) Pain and numbness Distal, proximal radiating Sensory disturbance Distribution
Distal Radius Fractures. Lee W Hash, MD Affinity Orthopedics and Sports Medicine
Distal Radius Fractures Lee W Hash, MD Affinity Orthopedics and Sports Medicine The Problem of Distal Radius Fractures Common injury: >450,000/yr. in USA High potential for functional impairment and frequent
Most active and intricate part of the upper extremity Especially vulnerable to injury Do not respond well to serious trauma. Magee, 2008. pg.
PTA 216 Most active and intricate part of the upper extremity Especially vulnerable to injury Do not respond well to serious trauma Magee, 2008. pg. 396 28 bones Numerous articulations 19 intrinsic muscles
Common wrist injuries in sport. Chris Milne Sports Physician Hamilton,NZ
Common wrist injuries in sport Chris Milne Sports Physician Hamilton,NZ Overview / Classification Acute injuries Simple - wrist sprain Not so simple 1 - Fracture of distal radius/ulna 2 - Scaphoid fracture
WRIST EXAMINATION. Look. Feel. Move. Special Tests
WRIST EXAMINATION Look o Dorsum, side, palmar- palmar flex wrist to exacerbate dorsal swellings o Deformity e.g. radial deviation after colles, prominent ulna o Swellings e.g. ganglion o Scars, muscle
RADIOGRAPHIC EVALUATION
Jeff Husband MD Objectives Evaluate, diagnose and manage common wrist injuries due to high energy trauma in athletes Appropriately use radiographs, CT scans and MRI Know when to refer patients for additional
INJURIES OF THE HAND AND WRIST By Derya Dincer, M.D.
05/05/2007 INJURIES OF THE HAND AND WRIST By Derya Dincer, M.D. Hand injuries, especially the fractures of metacarpals and phalanges, are the most common fractures in the skeletal system. Hand injuries
Wrist and Hand. Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Fractures of the Wrist and Hand: Carpal bones
Patient Information Guide to Bone Fracture, Bone Reconstruction and Bone Fusion: Wrist and Hand Fractures of the Wrist and Hand: Fractures of the wrist The wrist joint is made up of the two bones in your
Radial Head Fracture Repair and Rehabilitation
1 Radial Head Fracture Repair and Rehabilitation Surgical Indications and Considerations Anatomical Considerations: The elbow is a complex joint due to its intricate functional anatomy. The ulna, radius
DIAGNOSING SCAPHOID FRACTURES. Anthony Hewitt
DIAGNOSING SCAPHOID FRACTURES Anthony Hewitt Introduction Anatomy of the scaphoid Resembles a deformed peanut Articular cartilage covers 80% of the surface It rests in a plane 45 degrees to the longitudinal
August 1st, 2006. Scaphoid Fractures. Dr. Christine Walton, PGY 2 Orthopedics
August 1st, 2006 Scaphoid Fractures Dr. Christine Walton, PGY 2 Orthopedics Injury Patterns to the Carpal Bones 1) Perilunate pattern injuries 2) Axial pattern injuries 3) Local impaction/avulsion injuries
NERVE COMPRESSION DISORDERS
Common Disorders of the Hand and Wrist Ryan Klinefelter, MD Associate Professor of Orthopaedics Department of Orthopaedics The Ohio State University Medical Center NERVE COMPRESSION DISORDERS 1 Carpal
11/18/2009. day 1. 6 weeks
11/18/2009 from Fractures of the Distal Radius : a practical approach to management DL Fernandez and JB Jupiter, Springer, New York, 1995 SGH, Biel, 2009 FRACTURES OF THE DISTAL RADIUS: do we still indicate
Sports Related Injuries of the Hand, Wrist and Elbow. Melissa Nayak, M.D. Department of Orthopaedics Division of Sports Medicine
Sports Related Injuries of the Hand, Wrist and Elbow Melissa Nayak, M.D. Department of Orthopaedics Division of Sports Medicine Injury triage History, mechanism of injury (MOI) Assess extent of swelling,
3.1. Presenting signs and symptoms; may include some of the following;
Title: Clinical Protocol for the management of Forearm and Wrist injuries. Document Owner: Deirdre Molloy Document Author: Deirdre Molloy Presented to: Care & Clinical Policies Date: August 2015 Ratified
ASOP Exams PO Box 7440 Seminole, FL 33775. The Manual of Fracture Casting & Bracing Exam 80% Passing ID # Name Title. Address. City State Zip.
The Manual of Fracture Casting & Bracing Exam 80% Passing ID # Name Title Address City State Zip Tel# Email Certification Organization Cert# Mail a copy of your completed exam to: ASOP Exams PO Box 7440
THE WRIST. At a glance. 1. Introduction
THE WRIST At a glance The wrist is possibly the most important of all joints in everyday and professional life. It is under strain not only in many blue collar trades, but also in sports and is therefore
The Wrist I. Anatomy. III. Wrist Radiography Typical wrist series: Lateral Oblique
monteleoneg@wvuh.com The Wrist I. Anatomy The wrist is a complex system of articulations comprising 27 articular surfaces among the radius, ulna, carpus, and metacarpals. It is generally agreed that the
Wrist Fractures: What the Clinician Wants to Know 1
What the Clinician Wants to Know Charles A. Goldfarb, MD Yuming Yin, MD Louis A. Gilula, MD Andrew J. Fisher, MD Martin I. Boyer, MD Index terms: Bones, CT, 43.1211 Wrist, fractures, 43.41 Wrist, MR, 43.12141,
Scaphoid Fracture of the Wrist
Page 1 of 6 Scaphoid Fracture of the Wrist Doctors commonly diagnose a sprained wrist after a patient falls on an outstretched hand. However, if pain and swelling don't go away, doctors become suspicious
Wrist and Hand Injuries Keep Your Edge: Hockey Sports Medicine 2015 Toronto, Canada August 28-30
Wrist and Hand Injuries Keep Your Edge: Hockey Sports Medicine 2015 Toronto, Canada August 28-30 Steven E. Rokito, MD Division Chief, Sports Medicine, NSLIJ Associate team orthopedist NY Islanders Wrist
Management of common upper limb fractures in Adults and Children. Dr Matthew Sherlock Shoulder and Elbow Orthopaedic Surgeon
Management of common upper limb fractures in Adults and Children Dr Matthew Sherlock Shoulder and Elbow Orthopaedic Surgeon Outline Immobilisation choices Adults Clavicle Fractures Proximal Humeral Fractures
.org. Distal Radius Fracture (Broken Wrist) Description. Cause
Distal Radius Fracture (Broken Wrist) Page ( 1 ) The radius is the larger of the two bones of the forearm. The end toward the wrist is called the distal end. A fracture of the distal radius occurs when
Scaphoid Fractures 1
1 Scaphoid Fractures Scaphoid Fractures Introduction Anatomy Biomechanics History Clinical examination Radiographic evaluation DDx Classification Treatment Complications 2 Scaphoid fractures Introduction
Hand and Wrist Injuries and Conditions
Hand and Wrist Injuries and Conditions Julia Wild Hand Therapist www.southernhandtherapy.com.au 02 9553 8597 POSI Position of Safe Immobilisation So everything is balanced Wrist 30⁰ ext MCP 70⁰ flex for
Non Operative Management of Common Fractures
Non Operative Management of Common Fractures Mr Duy Thai Orthopaedic Surgeon MBBS, FRACS (Ortho), Dip Surg Anat NOT ALL FRACTURES NEED TO BE FIXED FRACTURE CLINIC EMERGENCY DEPARTMENTS GENERAL PRACTITIONERS
Wrist Fractures. Wrist Injuries/Pain. Upper Extremity Care in an Aging Population. Objectives. Jon J. Cherney, M.D. Fractures of the Distal Radius
Upper Extremity Care in an Aging Population Hand and Upper Extremity Center of Northeast Wisconsin, Ltd. Symposium February 24, 2012 1 2 Objectives Wrist Injuries/Pain by Jon J. Cherney, M.D. Anatomy History/Evaluation
IFSSH Scientific Committee on. Wrist Biomechanics and Instability
IFSSH Scientific Committee on Wrist Biomechanics and Instability Chair: Hisao Moritomo (Japan) Committee: Emmanuel Apergis (Greece) Guillaume Herzberg (France) Scott Wolfe (USA) Jose Maria Rotella (Argentina)
Scaphoid Fractures- Anatomy And Diagnosis: A Systemic Review Of Literature
Article ID: WMC001268 ISSN 2046-1690 Scaphoid Fractures- Anatomy And Diagnosis: A Systemic Review Of Literature Corresponding Author: Dr. Dharm Meena, junior resident, orthopaedics, PGIMER, E 402, MDH,PGIMER,CHANDIGARH,
Forearm Fractures 09/18/2013. Mechanism: Usually a fall on an outstretched arm. Incidence. Mechansim
September 20, 2013 Amanda Taylor PA-C Children s Orthopaedics of Louisville Forearm Fractures Incidence 40-50% of all pediatric fractures Mechansim Wide range of mechanism Mechanism: Usually a fall on
Musculoskeletal Trauma of the Wrist
September 2000 Musculoskeletal Trauma of the Wrist Murat Akalin, Harvard Medical School, Year- IV Gillian Lieberman, MD The Wrist Most common site of injury in entire skeleton Distal radius and ulna fractures
Hand and Wrist Injuries. Hmmm... 2/24/2015
Hand and Wrist Injuries John J Shaff, PA-C Hand Surgery Specialists, P.C. Hmmm... The field of hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take
Hand and Upper Extremity Injuries in Outdoor Activities. John A. Schneider, M.D.
Hand and Upper Extremity Injuries in Outdoor Activities John A. Schneider, M.D. Biographical Sketch Dr. Schneider is an orthopedic surgeon that specializes in the treatment of hand and upper extremity
We compared the long-term outcome in 61
Fracture of the carpal scaphoid A PROSPECTIVE, RANDOMISED 12-YEAR FOLLOW-UP COMPARING OPERATIVE AND CONSERVATIVE TREATMENT B. Saedén, H. Törnkvist, S. Ponzer, M. Höglund From Stockholm Söder Hospital,
NOW PLAYING THE WRIST. David Costa, OTR/L October 20, 2007
NOW PLAYING THE WRIST David Costa, OTR/L October 20, 2007 Starring Radius Ulna Scaphoid Lunate Triquetrum Trapezium Trapezoid Capitate Hamate Pisiform TFCC Transverse Carpal Ligament Scapholunate Ligament
ESSENTIALPRINCIPLES. Wrist Pain. Radial and Ulnar Collateral Ligament Injuries. By Ben Benjamin
ESSENTIALPRINCIPLES Wrist Pain Radial and Ulnar Collateral Ligament Injuries By Ben Benjamin 92 MASSAGE & BODYWORK FEBRUARY/MARCH 2005 Ulnar Collateral Ligament Radial Collateral Ligament Right wrist,
Common Injuries of the Hand, Wrist, & Elbow. Terry M. Messer, MD October 25, 2007
Common Injuries of the Hand, Wrist, & Elbow Terry M. Messer, MD October 25, 2007 Introduction! Hand, Wrist, & Elbow Injuries are common! Increase in intensity/frequency of sports training! Sedentary lifestyle
Wrist Fracture. Please stick addressograph here
ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS FOLLOWING WRIST FRACTURE Please stick addressograph
Name them. Clenched Fist A-P
Sports Injuries Not To Misdiagnose LtCol Fred H. Brennan, Jr., DO, FAOASM, FAAFP, FACSM Head Team Physician, University of New Hampshire Deputy Commander, 157 th Medical Group, Pease ANGB To improve the
Elbow, Forearm, Wrist, & Hand. Bony Anatomy. Objectives. Bones. Bones. Bones
Objectives Elbow, Forearm, Wrist, & Hand Chapter 19 Identify and discuss the functional anatomy of the elbow and forearm Discuss the common injuries associated with these anatomical structures Bones Humerus
Chpter 2 Nonoperative Management of Non-displaced Acute Scaphoid Fracture
Chpter 2 Nonoperative Management of Non-displaced Acute Scaphoid Fracture Megan Tomaino and Thomas B. Hughes Case Presentation The patient is a 15-year-old male with a history of left wrist pain following
Common Pediatric Fractures. Quoc-Phong Tran, MD UNSOM Primary Care Sports Medicine Fellow November 6, 2014
Common Pediatric Fractures Quoc-Phong Tran, MD UNSOM Primary Care Sports Medicine Fellow November 6, 2014 Pediatric fractures 20% of injured kids found to have fracture on evaluation Between birth and
How To Fix A Radial Head Plate
Mayo Clinic CoNGRUENT RADIAL HEAD PLATE Since 1988 Acumed has been designing solutions to the demanding situations facing orthopedic surgeons, hospitals and their patients. Our strategy has been to know
Chapter 7 The Wrist and Hand Joints
Chapter 7 The Wrist and Hand Manual of Structural Kinesiology R.T. Floyd, EdD, ATC, CSCS Many Archery, Relate wrist require sports require precise functioning of flexion, & hand & hand functional combined
The Elbow, Forearm, Wrist, and Hand
Elbow - Bones The Elbow, Forearm, Wrist, and Hand Chapters 23 & 24 Humerus Distal end forms the medial & lateral condyles Lateral: capitulum Medial: trochlea Radius Ulna Sports Medicine II Elbow - Bones
Adult Forearm Fractures
Adult Forearm Fractures Your forearm is made up of two bones, the radius and ulna. In most cases of adult forearm fractures, both bones are broken. Fractures of the forearm can occur near the wrist at
HAND & WRIST REHAB AFTER SPORTS INJURY Jennifer Allen,PT,OCS,CHT. Overview. Why do ATCs Need to Know Hand Injury Info?
HAND & WRIST REHAB AFTER SPORTS INJURY Jennifer Allen,PT,OCS,CHT Overview Why do ATCs Need to Know Hand Injury Info? 1 Incidence of Hand Injury in Sports NFL Combine Review 1987-2000 Ankle Sprain 29.1%
Pediatric Sports Injuries of the Wrist and Hand. Sunni Alford, OTR/L,CHT Preferred Physical Therapy
Pediatric Sports Injuries of the Wrist and Hand Sunni Alford, OTR/L,CHT Preferred Physical Therapy Wrist injuries TFCC ECU/ FCU tendonitis Instability Growth Plate Fractures Ulnar abutment syndrome Triangular
The Emergent Evaluation and Treatment of Hand and Wrist Injuries
The Emergent Evaluation and Treatment of Hand and Wrist Injuries Michael K. Abraham, MD, MS a,b, *, Sara Scott, MD a,c KEYWORDS Hand and wrist injuries Emergency physician Emergent evaluation Treatment
Examination of the Elbow. Elbow Examination. Structures to Examine. Active Range of Motion. Active Range of Motion 8/22/2012
Examination of the Elbow The elbow is a complex modified hinge joint The humero-ulnar joint is a hinge joint allowing flexion and extension The radio-ulnar joint allows for pronation and supination of
Common Hand and Wrist Conditions: When to Refer? Dr Tim Heath
Common Hand and Wrist Conditions: When to Refer? Dr Tim Heath Difficult Balance Many hand conditions can be managed non-operatively / simply Missed injury or delayed diagnosis not uncommon Common Problems
Systemic condition affecting synovial tissue Hypertrohied synovium destroys. Synovectomy. Tenosynovectomy Tendon Surgery Arthroplasty Arthrodesis
Surgical Options for Rheumatoid Arthritis of the Wrist Raj Bhatia Consultant Hand & Orthopaedic Surgeon Bristol Royal Infirmary & Avon Orthopaedic Centre Rheumatoid Arthritis Systemic condition affecting
Scaphoid Non-union. Dr. Mandel Dr. Gyomorey. May 3 rd 2006
Scaphoid Non-union Dr. Mandel Dr. Gyomorey May 3 rd 2006 Introduction Scaphoid fracture incidence: 8-38/100,000 Non-union 5% (0-22%) Adams and Leonard (1928) first described operative treatment of the
ASSOCIATED LESIONS COMPLICATIONS OSTEOARTICULAR COMPLICATIONS
Corrective Osteotomy of Distal Radius Malunion---New Horizons I certify that, to the best of my knowledge, no aspect of my current personal or profession situation might reasonably be expected to affect
ACUTE HAND INJURY PROTOCOLS
ACUTE HAND INJURY PROTOCOLS I. FRACTURES OF THE HAND AND DIGITS Digital and hand fractures are seen in workers who use their hands, due to the exposed nature of the hand (in most functions) at work. Most
The wrist and hand are constructed of a series of complex, delicately balanced joints whose function is essential to almost every act of daily living.
TOPIC OUTLINE 9- THE WRIST AND HAND. Introduction. The wrist and hand are constructed of a series of complex, delicately balanced joints whose function is essential to almost every act of daily living.
Whether a physician is
ILLUSTRATIONS BY SCOT BODELL Hand and Wrist Injuries: Part I. Nonemergent Evaluation JAMES M. DANIELS II, M.D., M.P.H., Southern Illinois University School of Medicine, Quincy, Illinois ELVIN G. ZOOK,
Operative Treatment of Intra-articular Distal Radius Fractures Using the Small AO External Fixation Device
ORIGINAL ARTICLE Operative Treatment of Intra-articular Distal Radius Fractures Using the Small AO External Fixation Device Teng-Le Huang 1,2 *, Ching-Kuei Huang 2,3, Jung-Kuang Yu 2,3, Fang-Yao Chiu 2,3,
Ulnar sided Wrist Pain
Ulnar sided Wrist Pain 1 Susan Cross, 1 Anshul Rastogi, 2 Brian Cohen, 1 Rosy Jalan 1 Dept of Radiology, Barts Health NHS Trust, London, UK 2 London Orthopaedic Centre Contact: susan.cross@bartshealth.nhs.uk
Median Nerve Injuries in, Fractures in the Region of the Wrist
252 Median Nerve Injuries in, Fractures in the Region of the Wrist N. MEADOFF, M.D., Bakersfield SUMMARY Injuries of the median nerve in fractures in the region of the wrist are not uncommon. Median nerve
CLOSED REDUCTION AND PERCUTANEOUS KIRSCHNER WIRE FIXATION OF DISPLACED COLLES FRACTURE IN ADULTS
Original Article CLOSED REDUCTION AND PERCUTANEOUS KIRSCHNER WIRE FIXATION OF DISPLACED COLLES FRACTURE IN ADULTS M. AKHTER BAIG, KASHIF AHMED, S. MUJAHID HUMAIL Department of Orthopaedics (Unit I), Dow
ASSOCIATE PROFESSOR BO POVLSEN Emeritus Consultant Orthopaedic Surgeon Guy s & St Thomas Hospitals NHS Trust GMC no. 3579329
ASSOCIATE PROFESSOR BO POVLSEN Emeritus Consultant Orthopaedic Surgeon Guy s & St Thomas Hospitals NHS Trust GMC no. 3579329 Consultant Orthopaedic Surgeon London Bridge Hospital Medico-Legal Secretary:
Citation International Orthopaedics, 2011, v. 35 n. 3, p. 389-394. Creative Commons: Attribution 3.0 Hong Kong License
Title Operative treatment of distal radial fractures with locking plate system - A prospective study Author(s) Kwan, KYH; Lau, TW; Leung, F Citation International Orthopaedics, 2011, v. 35 n. 3, p. 389-394
Self-Range of Motion Exercises for Shoulders, Arms, Wrists, Fingers
Self-Range of Motion Exercises for Shoulders, Arms, Wrists, Fingers These exercises will help keep your muscles strong and mobile, and your joints flexible. Other benefits of these exercises include: C
Elbow Examination. Haroon Majeed
Elbow Examination Haroon Majeed Key Points Inspection Palpation Movements Neurological Examination Special tests Joints above and below Before Starting Introduce yourself Explain to the patient what the
9 DISTAL RADIUS AND ULNA FRACTURES
9: DISTAL RADIUS AND ULNA FRACTURES Rockwood and Wilkins Fractures in Children 9 DISTAL RADIUS AND ULNA FRACTURES PETER M. WATERS Classification Anatomy Physeal Injuries Diagnosis Treatment Options Complications
Wrist Fusion and Back to Work
Wrist Fusion and Back to Work Marc J. Richard, M.D. Associate Professor Department of Orthopaedic Surgery Durham, North Carolina 42 yo Ironworker, Failed Scope Debridement FUSION ARTHROPLASTY FUSION ARTHROPLASTY
Hand Injuries and Disorders
Hand Injuries and Disorders Introduction Each of your hands has 27 bones, 15 joints and approximately 20 muscles. There are many common problems that can affect your hands. Hand problems can be caused
The Hand Exam: Tips and Tricks
The Hand Exam: Tips and Tricks Nikki Strauss Schroeder, MD Assistant Clinical Professor, UCSF Department of Orthopaedic Surgery November 4, 2013 Outline Surface Anatomy Hand Anatomy Exam Management of
Treatment Guide Understanding Hand and Wrist Pain. Using this Guide. Choosing Your Care
Treatment Guide Understanding Hand and Wrist Pain With how much we rely on our hands, there s no wonder hand and wrist pain can be so disabling and frustrating. When this pain interferes with typing on
National Joint Replacement Registry. Demographics and Outcome of Elbow & Wrist Arthroplasty
National Joint Replacement Registry Demographics and Outcome of Elbow & Wrist Arthroplasty SUPPLEMENTARY REPORT 2015 CONTENTS INTRODUCTION... 1 ELBOW REPLACEMENT... 2 Categories of Elbow Replacement...
Commonly Missed Fractures in the Emergency Department
Commonly Missed Fractures in the Emergency Department Taylor Sittler MS IV - UMASS Images courtesy of Jim Wu, MD, Sanjay Shetty, MD and Mary Hochman, MD Diagnostic Errors in the ED Taylor Sittler, MS IV
Rigid Internal Fixation of Displaced Distal Radius Fractures
n Feature rticle Rigid Internal Fixation of Displaced Distal Radius Fractures Stephen. Gunther, MD; Tennyson L. Lynch, S abstract Full article available online at Healio.com/Orthopedics. Search: 20131219-14
Full version is >>> HERE Arthroscopy of the Hand and Wrist
Arthroscopy of the Hand and Wrist Arthroscopy is a minimally invasive procedure whereby a small camera is inserted through small incisions of a few millimeters each around a joint to view the joint directly.
Westmount UCC 751 Victoria Street South, Kitchener, ON N2M 5N4 519-745-2273 Fairway UCC 385 Fairway Road South, Kitchener, ON N2C 2N9 519-748-2327
K-W URGENT CARE CLINICS INC. Westmount UCC 751 Victoria Street South, Kitchener, ON N2M 5N4 519-745-2273 Fairway UCC 385 Fairway Road South, Kitchener, ON N2C 2N9 519-748-2327 OPEN Mon-Fri 8am-5pm, Sa
Total Elbow Arthroplasty and Rehabilitation
Total Elbow Arthroplasty and Rehabilitation Surgical Indications and Considerations Anatomical Considerations: There are three bones and four joint articulations that have a high degree of congruence in
Synopsis of Causation. Fractures Long Bones, Upper Limb (includes hand)
Ministry of Defence Synopsis of Causation Fractures Long Bones, Upper Limb (includes hand) Author: Mr John A Dent, Ninewells Hospital and Medical School, Dundee Validator: Mr Sheo Tibrewal, Queen Elizabeth
3. Be able to perform a detailed clinical examination of the forearm and wrist.
Patient Care: 1. Demonstrate appropriate evaluation and treatment of patients with hand/wrist surgery problems in the emergency room and as part of the inpatient consultation service, including application
Wrist-Hand Intervention. Ed Mulligan, PT, DPT, OCS, SCS, ATC Clinical Orthopedic Rehabilitation Education
Wrist-Hand Intervention Ed Mulligan, PT, DPT, OCS, SCS, ATC Clinical Orthopedic Rehabilitation Education Rehabilitation Interventions for Consideration Modalities Manual Therapy joint and soft tissue mobilization
Volar Fixation for Dorsally Displaced Fractures of the Distal Radius: A Preliminary Report
Volar Fixation for Dorsally Displaced Fractures of the Distal Radius: A Preliminary Report Jorge L. Orbay, MD, Miami, FL, Diego L. Fernandez, MD, Berne, Switzerland Using a volar approach to avoid the
Radius and Scaphoid Fractures
Page 1 of 7 Return to the Table of Contents Site Map Your Account Support About Us Marketplace Offerings: Medscape.com Charts Mobile Logician CBSHealthwatch American Academy of Orthopaedic Surgeons Annual
eng Integra surgical technique Spider and Mini-Spider Limited Wrist Fusion System Products for sale in Europe, Middle-East and Africa only.
eng Integra Spider and Mini-Spider Limited Wrist Fusion System surgical technique Table of contents Indications... 03 Contraindications... 03 Features... 03 Component Materials... 03 Surgical Technique
Radiological diagnosis of injuries following Fall on outstretched hand (FOOSH)
snap to grid Radiological diagnosis of injuries following Fall on outstretched hand (FOOSH) Core Radiology Clerkship Beth Israel Deaconess Medical Center Ziad Obermeyer, MS4 Gillian Lieberman, MD 18 September
Technique Guide. 2.4 mm LCP Distal Radius System. A comprehensive plating system to address a variety of fracture patterns.
Technique Guide 2.4 mm LCP Distal Radius System. A comprehensive plating system to address a variety of fracture patterns. Table of Contents Introduction 2.4 mm LCP Distal Radius System 2 AO Principles
A Patient s Guide to Guyon s Canal Syndrome
A Patient s Guide to DISCLAIMER: The information in this booklet is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or
Upper extremity fractures are
Common Forearm Fractures in Adults W. SCOTT BLACK, MD, University of Kentucky Department of Family and Community Medicine, Lexington, Kentucky JONATHAN A. BECKER, MD, University of Louisville Department
Elbow Injuries and Disorders
Elbow Injuries and Disorders Introduction Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. There are many injuries and disorders that
Stretch Beyond Your Expectations.
CLINICIAN INSTRUCTIONS Dynasplint Supination/Pronation Forearm System Corporate Headquarters: 800.638.6771 toll-free 800.380.3784 fax Canada: 800.668.9139 toll-free 905.851.3494 fax Europe: 00131.455 230
Sports Injuries of the Foot and Ankle. Dr. Travis Kieckbusch August 7, 2014
Sports Injuries of the Foot and Ankle Dr. Travis Kieckbusch August 7, 2014 Foot and Ankle Injuries in Athletes Lateral ankle sprains Syndesmosis sprains high ankle sprain Achilles tendon injuries Lisfranc
Chapter 35. Volar forearm fasciotomy incisions Hand/dorsal forearm fasciotomy incisions Finger fasciotomy incisions
Chapter 35 HAND CRUSH INJURY AND COMPARTMENT SYNDROME KEY FIGURES: Volar forearm fasciotomy incisions Hand/dorsal forearm fasciotomy incisions Finger fasciotomy incisions The previous chapters about the
Active Range of Motion: A. Flexion: Gently try to bend your wrist forward. Hold for 5 seconds. Repeat for 3 sets of 10.
Rehabilitation Exercises for Wrist and Hand Injuries If instructed by your medical doctor, you may begin these exercises when the pain has started to decrease. Active Range of Motion: A. Flexion: Gently
Comparison Of Ct And Plain Film For The Postoperative Assessment Of Scaphoid Fracture Healing
Yale University EliScholar A Digital Platform for Scholarly Publishing at Yale Yale Medicine Thesis Digital Library School of Medicine January 2011 Comparison Of Ct And Plain Film For The Postoperative
3.1. Presenting signs and symptoms; may include some of the following;
Title: Clinical Protocol for the management of Hand and finger injuries. Document Owner: Deirdre Molloy Document Author: Deirdre Molloy Presented to: Care & Clinical Policies Date: August 2015 Ratified
Fracture Care Coding September 28, 2011
Fracture Care Coding September 28, 2011 Julie Edens Leu, CPC, CPCO, CPMA, CPC-I 1 Disclaimer Every reasonable effort has been made to ensure that the educational material provided today is accurate and
Scaphoid fractures. Studies on diagnosis and treatment. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 358
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 358 Scaphoid fractures Studies on diagnosis and treatment BERTIL VINNARS ACTA UNIVERSITATIS UPSALIENSIS UPPSALA 2008
Scaphoid Fracture in the Elite Athlete
Scaphoid Fracture in the Elite Athlete Mark R. Belsky, MD*, Matthew I. Leibman, MD, David E. Ruchelsman, MD KEYWORDS Scaphoid Fracture Wrist Athlete KEY POINTS Operative fixation is preferred to casting
Syndesmosis Injuries
Syndesmosis Injuries Dr. Alex Rabinovich Outline Anatomy Injury types and classification Treatment options Nonoperative vs. Operative Indications for operative Operative technique Postoperative management