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MSK Upper Extremity - Forearm & Hand
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MSK Upper Extremity - Forearm & Hand MSK Upper Extremity - Forearm & Hand MSK Upper Extremity - Forearm & Hand
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MSK Upper Extremity - Forearm & HandImaging of the Forearm - ANS Forearm Series - 2 views (AP/Lateral)
Wrist Series - ANS 3 Views (PA, Lateral, Oblique
Special Imaging Views - ANS Scaphoid View
Clenched Fist View
Galeazzi's Fracture-Dislocation* - ANS Fx Distal 1/3 of the radial shaft
Dislocation of Distal Radial Ulnar Joint
Risk of Compartment syndrome
Galeazzi's Fracture-Dislocation MOI - ANS Fall on an outstretched hand in forced pronated or direct blow
Galeazzi's Fracture-Dislocation + Clinical Findings - ANS Tenderness over the fracture site
Displacement of ulnar head can be palpable
Galeazzi's Fracture-Dislocation Diagnostics + Tx - ANS Radiographs: Image the whole area (elbow and
wrist)
Tx: Emergency! ER Ortho consult
,Immobilization in long arm + Sugar tong splint
Surgical reduction and fixation
Complications:
-Compartment syndrome
-Infection
Monteggia Fracture - Dislocation* + + MOI - ANS Fracture of the proximal 1/3rd of ulna + dislocation of
the radial head from the capitulum (PRUJ).
MOI: Direct Blow to the ulnar diaphysis OR fall on outstretched hand
Monteggia Fracture - Dislocation* Clinical Findings - ANS Forearm appears shortened/angulated with
swelling
Radial head may be palpable
NV Exam
May cause radial nerve injuries
Monteggia Fracture - Dislocation* + Diagnostics + Treatment - ANS Radiograph: Forearm series with
wrist and elbow joints
Treatment: Same as Galeazzi Fracture:
, Emergency Ortho Consult, Long Arm Splint, Reduction
Nightstick Fracture + MOI - ANS Named as if protecting head from getting hit with a nightstick (isolated
ulnar fracture)
MOI: Direct blow to the forearm
Nightstick Fracture + Diagnostics + Treatment - ANS Imaging:
Radiographs:
A/P Lateral of Elbow, forearm and wrist (check other
Treatment: Sugar-Tong splint, immobilization of elbow and wrist.
Significant displacement requires Surgery
Distal Radius Fx's - ANS Most common pediatric fx,
Women < 50 high risk
Affects the joints.
Two common distal radius fx's: Colle's Fracture + Smith's
Colles' Fracture* + MOI - ANS Most common
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