1. MrAnjan K Banerjee

2. A Cook’s Tour
 Fractures
 Infection
 Back Pain & Sciatica
 Complications

3. Fractures
 Hand/Wrist
 Forearm
 Elbow
 Humerus
 Shoulder
 Foot
 Ankle/Tibia
 Knee
 Femur
 Hip
 Spine

4. Wrist & Hand
 Colles
 Smith’s
 Barton’s
 Perilunate dislocation
 Metacarpals
 Fingers

5. Fingers

6. Metacarpal

7. Metacarpal

8. Scaphoid

9. Scaphoid

10. Perilunate
Capitate lunate

11. Colles

12. Barton’s

13. Styloid

14. Forearm
Radial styloid
Isolated ulna # Radial head
“Nightstick #”
From a direct blow to
the mid forearm.
(Night stick is an old
name for a police
truncheon)

15. Galeazzi #
Needs ORIF

16. Monteggia #
Radius should line
up with the
capitellum.
“MonteggiaMore
Medial” (than
Galezzi) (if patient’s
arms where sticking
out)
Capitellum

17. Supracondylar fractures
Gartland I & II

18. Gartland II & III

19. Ankle – Images I should not see

20. Ankle – Images I should not see

23. Cervical Spine
 Canadian Rules.
 Always Consider the mechanism.

24. Cervical Spine

27. Remember Collar & Blocks

29. Lumbar Spine
Direct Axial Compression

30. Thoracic Spine

31. Salter-Harris
S Slipped SH1
A Above SH2
L beLow SH3
T Through SH4
ER er, the mnemonic falls apart. Squashed SH5
Usually worse as you go down the list.

32. Extracapsular Hip Fractures
aka Proximal Femoral Fractures

33. Intracapsular Hip Fractures

34. Management
 Assessment.
 Analgesia.
 Immobilize Limb (Where Possible).
 Be Aware of the Risk of Compartment Syndrome.

35. Open Fractures
 Tetanus.
 IV Augmentin/ Cefuroxime.
 Blood Loss?

36. Infection – Septic Arthritis
 Fever including Rigors/ Swinging Fever.
 Pseudoparalysis / unable to move joint due to pain.
 Hot swollen tender joint.
 Can affect any joint.

37. Infection - Ix
 FBC, CRP, Blood Cultures & Aspirate.
 X-rays.
 ESR/ Plasma viscosity.
 Urate

38. Infection - Pitfalls
 Psuedo/ GOUT.
 Transient Synovitis.
 Implants.

39. Cellulitis
 Upper limb & Hand.
 Lower Limb & Foot.
 Peripheral arterial foot problems – Gen Surg.
 Diabetic Foot with microvascular disease – Gen Surg
then Ortho.

40. Tendons
 Tendo-Achilles/ Calf Tear.
 TA may require surgery (or cast in dorsal slab or full
equinus cast)
 EPL/FPL.
 Quadriceps.
 Hamstrings.

41. Back Pain & Sciatica
 Red Flags
 Cancer, steroids, IVDU, weight loss, fever, night pain,
age > 50, significant trauma, pain worse on lying down.
 MRI/ X-ray?
 Treatment.

42. Not All Back pain is Like This!

44. Complications
 DO NOT TREAT PERIPROSTHETIC INFECTION
IN THE COMMUNITY!

45. Complications
 Fractures in POP can still displace
 Re-X-ray after applying a cast with Manipulation.
 Re-Xray if represents with increasing pain.
 If metal in-situ, Re-X-ray & Inflammatory markers.

46. Not All Ortho Registrars
are like this!

51. Questions?

52. Tibial plateau
 Sometimes difficult to see
fracture line
 May just have one plateau lower
than the other or
 One plateau wider than the
femur
 Typically from a blow to the
lateral knee eg from a car
bumper
 Tender over proximal tibia.