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8/14/2019 Surgery-Dychioco-Injuries of the Upper Extremity
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Injuries of theUpper
Extremity JOSELITO T. DYCHIOCO,
M.D.
Orthopaedic Surgeon
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p g
At the end of the lecture, thestudent should be able to:
Identify and evaluate the different typesof fractures and dislocations and providefor the initial management of the
following fractures & dislocations: Clavicular fractures, Shoulder dislocations,
Humeral fractures, elbow fractures-dislocations, forearm fractures, wristfractures & hand fractures
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Appreciate the different types of definitive treatment for the abovefractures and dislocations
Identify fractures and dislocationsneeding appropriate referral toorthopedic specialists
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Clavicular Fracture
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Clavicular Fracture
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Clavicular Fracture
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Clavicular Fracture
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ACROMIO-CLAVICLUAR JOINTDISLOCATION
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TYPES OF AC JOINTDISLOCATION
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X-RAY OF AC JOINT DISLOCN
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Anterior Dislocation of Glenohumeral Joint
Three Types
Subcoracoi
d
Subglenoi
d
Subclavicul
ar(mostcommon)
(uncommon)
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Anterior Dislocation of Glenohumeral Joint
Physical Examination Findings
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Anterior Dislocation of Glenohumeral Joint
Physical Examination Findings
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Anterior Dislocation of Glenohumeral Joint
AP X-ray Subcoracoiddislocation
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Anterior Dislocation of Glenohumeral Joint
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Anterior Dislocation of Glenohumeral Joint
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Anterior Dislocation of Glenohumeral Joint
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Anterior Dislocation of Glenohumeral Joint
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Anterior Dislocation of Glenohumeral Joint
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Anterior Dislocation of Glenohumeral Joint
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Fracture of ProximalHumerus
Due to a fall or directtrauma on theshoulder
Occurs most often in
older individuals Neer four-part
classification1. Articular fragment2. Lesser tuberosity
3. Greater tuberosity4. Shaft
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PROXIMAL HUMERUSFRACTURES
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Fracture of ProximalHumerus
AP view
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Fracture of ProximalHumerus
Lateral view
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Fracture of ProximalHumerus
Axillary view
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Fracture of ProximalHumerus
Treatment:
If no fragments are displaced (stable)
Minimal immobilization
Early range-of-motion exercises
Displacement of 1 cm. or angulation of 45 0 of one or more fragments
Open reduction & internal fixation
Prosthetic replacement
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ORIF PROXIMAL HUMERUSFRACTURE
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Fracture of ProximalHumerus
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Fracture of ProximalHumerus
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Fracture of Humeral Shaft
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Fracture of Humeral Shaft
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Fracture of Humeral Shaft
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Fracture of Humeral Shaft
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Supracondylar Fracture
Two Types
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Supracondylar Fracture
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Supracondylar FractureClosed Reduction
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Supracondylar Fracture
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Supracondylar Fracture
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Elbow Dislocation
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Elbow Dislocation
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Monteggia Fracture -Dislocation
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Forearm Fracture
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Forearm Fracture
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Forearm Fracture
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Galeazzis Fracture
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Galeazzis Fracture
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Galeazzis Fracture
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Monteggias Fracture
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Monteggias Fracture
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Monteggias Fracture
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Monteggias Fracture
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Colles Fracture
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Colles Fracture
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Colles Fracture
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Colles Fracture
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Colles Fracture
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Colles Fracture
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Scaphoid Fracture
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Scaphoid Fracture
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Scaphoid Fracture
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Scaphoid Fracture
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Scaphoid Fracture
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Scaphoid Fracture
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Smith Fracture
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Smith Fracture
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Finger Injuries
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Finger Injuries
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Finger Injuries
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Finger Injuries
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Phalangeal Fracture
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Phalangeal Fracture
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Phalangeal Fracture
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Phalangeal Fracture
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Metacarpal Fracture
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Metacarpal Fracture
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Metacarpal Fracture
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Thumb FractureFour Types
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Thumb Fracture
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Thumb Fracture
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Thumb Fracture