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Emergency Medicine Bone and Joint Injuries

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By Prapassorn Pattarananakul, MD

Health & MedicineEntertainment & Humor
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Tintinalli's Emergency Medicine Section 22. Injuries to Bones and Joints Chapter 266,267 Rosen's Emergency Medicine: Concepts and Clinical Practice, Chapter 48,49 Prapassorn Pattarananakul ,MD
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Stable fractures may be treated with a compression dressing and splint until they can be evaluated by an orthopedic surgeon; otherwise, closed reduction is performed.
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[object Object],[object Object],Type II Monteggia fracture-dislocation
[object Object],[object Object],[object Object],Fx radial head dislocation Type I Prox. or middle ulnar anterior Type II Prox.or middle ulnar posterior Type III distal to coronoid process lateral Type IV Prox. or middle ulna Prox. radius anterior
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[object Object],[object Object],Extension type Flexion type Nondisplaced Nondisplaced Displaced, but posterior cortex intact Displaced, but anterior cortex intact Completely displaced Completely displaced
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Emergency Medicine Bone and Joint Injuries

  • 1. Tintinalli's Emergency Medicine Section 22. Injuries to Bones and Joints Chapter 266,267 Rosen's Emergency Medicine: Concepts and Clinical Practice, Chapter 48,49 Prapassorn Pattarananakul ,MD
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Editor's Notes

  1. a)DiBenedetto et al.: A and B 2 points bisecting radius 4 and 8 cm proximal to radiocarpal joint to make line X. Line Y is drawn through C, which is distal sigmoid notch, and D, which is the tip of the radial styloid. Z is drawn perpendicular to line X through point C. Radial inclination angle between lines Z and Y. E is a point on line Z to allow radial height to be measured between D and E. Radial inclination angle is 22° ± 3° b)Matashita, Firrel, and Tsai. This method is a modification of that of DiBenedetto et al., in which the central axis (X) of the ulna is drawn through midpoints A and B at 2 cm and 4-5 cm proximal to the distal end of the ulna.