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Orthopedic Fracture Classification - Upper Limbs
Neer Classification of Proximal Humeral head Fractures:
 • 1-part
 • 2-part:
Orthopedic Fracture ... with dislocation ... displacement of the wrist ... displacement of the wrist ... #Upper #Limbs #Orthopedics
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... fracture (scaphoid ... styloid fracture ... Disposition: Pending orthopedic ... #Wrist #Carpal
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... injuries: distal radius ... follow-up with orthopedics ... #TerryThomas #Wrist ... Diagnosis #Management #Orthopedics
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... injuries: Perilunate dislocation ... , distal radius ... Discharge with orthopedic ... #Wrist #Carpal
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
Distal Radius Fracture ... most common orthopedic ... variable gross wrist ... injury, acute carpal ... tunnel syndrome
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
ulnar shaft with radial ... head dislocation ... head dislocation ... Exam: swollen elbow ... ), compartment syndrome
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
- C6, C7, C8 Elbow ... Pronation - C7, C8 Wrist ... Wrist drop - Occurs ... Carpal Tunnel Syndrome ... Anterior Shoulder Dislocation
Who to block and who not to block? Guidelines for Emergency Regional Anesthesiafor Trauma Orthopedic Injuries
Block
OK • Shoulder dislocation ... energy distal radius ... and dislocation ... • Elbow fracture ... for compartment syndrome