surgery-dychioco-injuries of the upper extremity

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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Physical Examination Findings


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Physical Examination Findings


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AP X-ray Subcoracoiddislocation


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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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AP view


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Lateral view


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Axillary view


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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 Humeral Shaft


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Supracondylar Fracture

Two Types


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Supracondylar FractureClosed Reduction


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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

surgery-dychioco-injuries of the upper extremity

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