FRACTURES OF UPPER LIMB, MECHANISM OF INJURY, FRACTURE CLASSIFICATIONS, RADIOLOGY,MANAGEMENT, PROBLEMS IN TREATMENT AND SOLUTIONS

1. “FAILING TO PLAN IS PLANNING
TO FAIL.”
QUICK REVIEW OF ORTHOPAEDICS
BY DR. D.P. SWAMI
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32. Isolated ulna fractures are classified as stable or unstable.
Stable fracture are those with less than 50% of displacement
and less than 10 degrees of angulation
Galeazzi Fracture Dislocations
An isolated radial shaft fracture with associated disruption of
the DRUJ
MONTEGGIA FRACTURE-DISLOCATION
. RACTURES OF THE PROXIMAL THIRD OF THE ULNA WITHDPS

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35. In most instances the bone with the more simple fracture pattern will be reduced and fixed
first as this will aid in reduction of the other fractured bone, especially when comminution is
present. However, because of the straight geometry of the ulna, it is frequently fixed initially,
thereby facilitating radial shaft reduction and fixation
Distal half fractures will most likely be fixed through a volar approach, while proximal half
fractures are best managed using a dorsal approach.
generally recommended that screws should engage at least six cortices on each side of the
fracture.
Rotation should be judged by viewing a lateral view of the olecranon that shows a lateral view
of the ulnar styloid at the wrist
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50. 1. Capitulum of humerus 2. Coronoid process
3. Epicondyle, radial (lateral) 4. Epicondyle, ulnar (medial)
5. Humeroradial joint 6. Humeroulnar joint 7. Humerus
8. Intercondylar fossa 9. Olecranon 10. Olecranon fossa
11. Radial head 12. Radial neck 13. Radial tuberosity
14. Radioulnar joint, proximal 15. Trochlea of humerus
16. Trochlear notch of ulna 17. Ulnar tuberosity
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51. • Stabilizers:
• Primary: ulnohumeral ligament
mcl (anterior part)
lcl
• Secondary: radiohumeral joint
capsule
flexor/extensor origin
• Dynemic: triceps
biceps
anconeous
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54. Mason classification for radial head fracture
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79. extends from the surgical neck of the humerus, just below the
greater and lesser tuberosities to the supracondylar ridge at the
elbow
up to 20 degrees anterior or posterior angular deformity and 15
degrees of varus can be tolerated well by the arm, the authors
reported an average of 9 degrees of varus angulation inDPS

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99. Fractures of less than 1 cm of
displacement and less than
45
degrees of angulation
are considered nondisplaced
and
are commonly called one-part
fractures
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