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EASILY MISSED SUBTLE EXTREMITY PROBLEMS LEONARD E. SWISCHUK, M.D. UTMB LOGO
COMPARATIVE VIEWS ─Invaluable
COMPARATIVE VIEWS ─Cost? ─Radiation? ─Adult training?
COMPARATIVE VIEWS ─Radiation exposure ─10 millirads or less ─Expense ─$2.00 or less
THE SECRET * ─Know where to look * ─Know what to look for * ─Use fat pads and other clues ─Utilize soft tissue edema
INFECTION – INFLAMMATION (Deep vs. superficial edema) ─Osteomyelitis (deep edema) ─Myositis (deep edema) ─Cellulitis (superficial edema)
OSTEMYELITIS (LOW GRADE) ─Flat bones ─Certain sites
BUCKLE FRACTURES 1.Typical cortical buckle 2.Angulation of cortex only
BUCKLE FRACTURE MECHANISM (Typical cortical buckle fracture)
BUCKLE FRACTURE MECHANISM (Angulation of cortex only)
HAIRLINE FRACTURES ─Toddler’s spiral fracture of tibia ─Type I: Dunbar ─Toddler’s fracture Type II ─Transverse fracture upper tibia ─Proximal ulna, longitudinal and transverse ─Small bones of hands and feet
IMPACTION FRACTURES ─Cuboid ─Scaphoid (carpal navicular) ─Upper tibia (Toddler’s fracture, Type II)
PLASTIC BENDING FRACTURES ─Long bones ─Radius, ulna, fibula ─Clavicle ─Supracondylar humeral fracture
SALTER-HARRIS EPIPHYSEAL–METAPHYSEAL FRACTURES ─Usually Salter-Harris I or II ─Salter-Harris III in ankle ─Subtle in older patients ─Epiphysis nearly fused
ULNAR STYLOID FRACTURE (a signal) ─Radial Salter-Harris or buckle fracture not present
CONCLUSION ─Know where to look for subtle fractures ─Know what they look like ─Comparative views very helpful ─ Indeed indispensable
Definition Fracture Fracture Fracture A disruption in all or part of the cortex of a bone A disruption in all or part of the cortex of a bone All = complete.
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Vanderbilt Sports Medicine Common Fractures in Young Athletes February 10, 2012 Alex B. Diamond, D.O., M.P.H. Assistant Professor of Orthopaedics and Rehabilitation.
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Pediatric Orthopedic Fractures Dafina Good, MD Pediatric Emergency Medicine Fellow Emory University School of Medicine Children’s Healthcare of Atlanta.
Common Pediatric Fractures Allyson S. Howe, MD Maj, USAF, MC.
Fractures. Normal Bone and Normal Ossification Bone Terms Epiphysis Epiphyseal Plate (physis) Metaphysis Diaphysis.
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Introduction to Pediatric Orthopaedics: Common Fractures Stephen P. England, MD MPH Department of Orthopaedic Surgery Park Nicollet Orthopaedics.
C. Indications for Splinting Fractures Sprains Joint infections Lacerations over joints Puncture wounds and animal bites of the hands or feet.
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Bone Fractures. (Fracture Hematoma) Bony Repair 1)Hematoma 2)Fibrocartilage callus 3)Bony callus 4)Remodeling.
Hemopoietic &Trauma RTEC 91. TB due to HIV patient with known AIDS.
Appendicular Skeleton Ch. 8. Consists of: Shoulder (pectoral) Girdle Upper extremities Pelvic Girdle Lower extremities.
Elbow Trauma. 6% of all fractures and dislocations involve elbow Most common fractures differ between adults and children – M.C. in adults- radial head.
Fractures ALI B ALHAILIY. Definition Fracture :a break in the continuity of a bone A fracture is present when there is loss of continuity in the substance.
The appendicular skeleton Do you know the bones????
COMMON ERRORS IN XRAY INTERPRETATION DR SALLY CANDY DEPARTMENT OF RADIOLOGY GSH.
Radiographs of Upper Extremity and Back Many radiographs are from the collection of the Department of Radiology, Joan C. Edwards School of Medicine; labeling.
Daily Quiz Name one type of bone tissue. Name a bone in the axial skeleton. Name a bone in the appendicular skeleton. Name one of the four bone types.
Image Evaluation Chapter 3 Critique of Upper Extremity.
Fracture Classification & Description Kishore Tipirneni MD.
1 Upper Extremity WRIST RTEC 123 # 1B LECTURE Contributions by: MOSBY – MERRILLS & BONTAGER XRAY2000.CO.UK rev 10/10/11.
The Skeletal System. Newborn Baby= 350 bones Fusion of bones Mature Adult= 206 bones.
Splinting 101 Carl Kaplan, MD Assistant Professor of Clinical Pediatrics and Emergency Medicine Stony Brook University School of Medicine.
Fractures. Fracture description mnemonic OLD ACIDS; O – open or closed L - Location D – Degree (complete vs incomplete) A – Articular invlovement C –
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Appendicular Skeleton. Bones of the upper and lower limbs Pectoral Girdle –Clavicle –Scapula –Upper limb Pelvic Girdle –Pelvic bone –Lower limb.
WARM UP 1.List 3 functions of the skeletal system. 2.Draw a long bone and label 3 parts.
Fracture of Clavicle and Humerus. Clavicle Two slender bones of the pectoral gridle that connect the sternum and the scapula. Can be divided into 3.
The appendicular skeleton Appendicular skelton + skeletal muscles= movement.
Orthopaedics Trauma and Elective – Very Different!
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings The Skeletal System.
Fractures samar - nada. Bone Fractures: Immediately after a fracture, the patient suffers sever local pain and is not able to use the injured part. Deformity.
NOTES part 4 : Skeletal Organization, continued (Ch 7)
The Appendicular Skeleton Appendicular Skeleton A. bones of the limbs 1. arms 2. legs B. girdles 1. pectoral 2. pelvic.
Types of Bones. Flat Structure Thin Flat shape Flat Function Provide protection for organs and tissues Are large surfaces for muscle attachments.
Traumatic Upper Extremity Injuries in Children A focused review of common upper extremity injuries seen in the ED Sujit Iyer, M.D. Dell Children’s Medical.
The upper limb (Osciology) 1Lufukuja G. The upper limb… The upper limb consists of four segments : Shoulder Arm Forearm Hand Lufukuja G2.
Upper extremity Consists of shoulder girdle, upper arms, lower arms, wrists, & hand.
Humerus fracture. humerus fracture may be classified by the location of the humerus involved:humerus the upper or proximal end the shaft or the lower.
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