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Common Fractures
Amelia A Adams MD
Martin I Boyer MD
SUMMARY
1. Describe location of fracture
2. Describe probable mechanism
3. Describe displacement
4. Understand reasons for operative treatment of fractures
5. Know common eponyms
LEG
Inter trochLocation?High energy or low energy fracture?Varus or valgus?Avascular necrosis or not?Natural history with/without operative fixation?
Inter troch -fixed
Fem neckLocation?High energy or low energy fracture?Varus or valgus?Avascular necrosis or not?Natural history with/without operative fixation?
Fem neck - fixed
Comment on alignment, fixation?
seg femur
Diagnosis?High energy or low energy?Varus or valgus?Procurvatum or recurvatum (or neither)?Deforming forces (muscles)?Natural history with or without operative treatment?Complications?
seg femur
Diagnosis?High energy or low energy?Varus or valgus?Procurvatum or recurvatum (or neither)?Deforming forces (muscles)?Natural history with or without operative treatment?Complications?
Tibia
Diagnosis?High energy or low energy?Natural history with or without operative treatment?Complications?
Tibia - fixed
tibia - openDiagnosis?High energy or low energy?Natural history with or without operative treatment?Complications?
tibia - openfixed
lateral mal = boyers
Diagnosis?Mechanism of injury?What is fractured?What is torn?Operative or non-operative treatment?
PELVIS
Pelvis: open book
Diagnosis?High energy or low energy?Which hemipelvis is displaced?Natural history with or without operative treatment?Complications (acute and subacute)?
Pelvis: open book - fix
acetabulm, ramus
Diagnosis?High energy or low energy?Mechanism of injury?What are common associated injuries?Complications (acute and subacute)?Treatment (operative or non-operative)?
post dislocation
Diagnosis?High energy or low energy?Mechanism of injury?What are common associated injuries?Complications (acute and subacute)?Treatment (operative or non-operative)?
olecranon
Diagnosis?Mechanism of injury?Which nerve is nearby?Why is this fracture treated operatively?
olecranon - fix
prox humDiagnosis?High energy or low energy injury?ID coracoid, acromion, scapular bodyAnterior or posterior to glenoid?Reduction maneuver?
Diagnosis?Varus or valgus?Nerve at greatest risk of injury?Operate or not?
Hum shaft
Diagnosis?High energy or low energy?Operative or non-operative treatment?Is past medical history important?Differential diagnosis for lesion?
EPONYMS
DR
BBFx
ulna - nondis
buckle
SUMMARY
1. Describe location of fracture
2. Describe probable mechanism
3. Describe displacement
4. Understand reasons for operative treatment of fractures
5. Know common eponyms
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