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Orthopedic Fracture Classification - Upper Limbs
Neer Classification of Proximal Humeral head Fractures:
 • 1-part
 • 2-part:
Orthopedic Fracture ... displacement of the wrist ... radius with volar ... displacement of the wrist ... the radial head
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
wrist, limited ... at wrist • Possible ... supination • Ortho ... MH/CCF/CWRU EM ... Diagnosis #Management #Orthopedics
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Distal Radius Fracture ... Distal radius ... variable gross wrist ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
with the distal radius ... with the distal radius ... , triquetrum), radial ... Sugar tong • Ortho ... MH/CCF/CWRU EM
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
onto outstretched hand ... injuries: distal radius ... immobilize • Splint: Thumb ... spica • Ortho ... MH/CCF/CWRU EM
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
epicondyle > radial ... + radial head fracture ... Posterior long arm • Ortho ... Simple, DC with ortho ... MH/CCF/CWRU EM
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... non-displaced radial ... MH/CCF/CWRU EM ... #RadialHead #Radius
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
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Supracondylar (4%), Radius ... Flexion Paper - Radial ... • Extension of wrist ... Supracondylar (2%), Radius ... Supracondylar (5%), Radius
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
dorsum of the hand ... injuries: Perilunate dislocation ... , distal radius ... Splint: Volar • Ortho ... MH/CCF/CWRU EM
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
sent home in a thumb ... onto outstretched hand ... spica • Ortho ... MH/CCF/CWRU EM ... #Wrist #Carpal