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ALL THINGS WRIST MI Zucker, MD
A dr Z Lecture
INJURIES of the WRIST Fractures and ligament injuries of the distal radius and ulna and the carpal bones.
NORMAL AP Three smooth carpal arcs Inter-carpal spaces of 0-2 mm
NORMAL LATERAL Straight line bisecting radius-lunate-capitate Dorsal border- triquetrum Smooth dorsal and volar borders of radius and ulna
The RADIUS The most commonly fractured wrist bone in all age groups
COLLES Fracture Fall on outstretched hand fractures distal radius with dorsal angulation; associated ulna styloid fracture in 2/3
SMITH Fracture Fall on back of hand, much less common than Colles. “ Reverse Colles”
TORUS Fracture Most common kid fracture of the wrist. Fall on outstretched hand.
SALTER-HARRIS Injuries SH II of the radius is most common of the wrist SH’s
SCAPHOID FRACTURES Second most common wrist fracture, most common carpal fracture. 70 % of carpal fractures. Watch out for additional fractures!
TRIQUETRUM Fracture Second most common carpal fracture, but only 15 %
HAMATE HOOK Fracture From twisting ulnar side of wrist as in golf swing
LIGAMENT INJURIES A spectrum of injuries caused by fall on outstretched hand
SCAPHO-LUNATE DISSOCIATION Most common, takes the least force. Scapho-lunate distance exceeds 4 mm
PERILUNATE DISLOCATION Interruption of three arcs on AP, loss of radius-lunate-capitate relationship on lateral
LUNATE DISLOCATION 5 X less common than perilunate. On AP, lunate becomes triangle shaped and on lateral, radius-lunate-capitate relationship is lost
GOODBYE Copyright 2004 MI Zucker, MD
Perilunate dislocations Dr. P Kruger. General points Can be missed easily If left untreated lead to high incidence of long term functional disability.
Fractures and dislocations of the carpus By Gatobu 6A.
Fractures and dislocations of the wrist Dr Ihab Rassem Lecturer of radiology Ain Shams University Cairo, Egypt.
MODULE 5 & 6 ELBOW, WRIST, & HAND. ELBOW w Constitute 6% of all fractures.
LAB/ECG/X-Ray Rounds Grant Kennedy CCFP-EM resident.
Wrist Trauma. Fractures and Dislocations of the Wrist Clinically point tenderness over the wrist with >20% loss of grip strength are good physical indicators.
Normal Variants of the Elbow. Olecranon Foramen aka Supratrochlear Foramen.
1 Upper Extremity WRIST RTEC 123 # 1B LECTURE Contributions by: MOSBY – MERRILLS & BONTAGER XRAY2000.CO.UK rev 10/10/11.
Distal forearm fractures and dislocations Dr. Ihab Rassem Lecturer of Radiology Ain Shams University Cairo, Egypt.
MUN ORTHOPEDICS Wrist Biomechanics and Carpal Instability.
Dr R Shadi Ngobeni Trauma Consultant STUDENTS LECTURE.
Dorsal Side. Name the Structure Trapezium Name the Structure.
MUN Orthopedics HAND &WRIST INJURIES. MUN Orthopedics.
The wrist and the hand. Wrist anatomy Radius forms wrist joint with scaphoid, lunate & triquetrum.
Injuries of the forearm By : Dr. sanjeev. Normal wrist joint Fig : -
FRACTURE OF RADIUS AND ULNA 1. 2 Distal Radius Fracture ◦ A distal radius fracture is a common bone fracture of the radius in the forearm. Because of.
Carpal Instability Weiling Chang. Carpal Instability - Definition Inability to maintain normal alignment and distribute load under physiologic conditions.
As the ELBOW Bends MI Zucker, MD. A dr Z lecture.
X-Ray Rounds Wrist Mark Scott Nov. 8, 2007 Wrist Mark Scott Nov. 8, 2007.
The Resting Arm… by Vinod More The Resting Arm… by Vinod More Kaan Yücel M.D., Ph.D. 30. October Tuesday.
Forearm and Wrist Fractures By Dr Fiona Hill HMO2.
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.
CC: wrist pain HPI: 45 yo right-handed male presents to the ED s/p mechanical fall complaining of R wrist pain. Patient states that he was working in.
Copyright © F.A. Davis Company Chapter 17 Wrist, Hand, and Finger Pathologies.
The Wrist, Hand and Fingers. BONES l FOREARM Radius – lateral and thumb side Ulna – medial and pinky side.
Kaan Yücel M.D., Ph.D. 08.January.2014 Wednesday.
1 Project: Ghana Emergency Medicine Collaborative Document Title: Radiology: X-rays of the Hand and Wrist Author(s): Christian Jacobus MD, Maine Medical.
Hand/Wrist/Thumb. Anatomy Bones Carpal Bones Scaphoid Lunate Triquetral Pisiform Trapezium Trapezoid Capitate Hamate Easy way of remembering carpal bones..starting.
Palmar Side. Name this bone Trapezium Name this bone.
Injuries to Hand, Wrist and Forearm - Mr. Brewer.
6.3 Appendicular Skeleton * 126 bones * primary function = movement * consists of: limb bones (arms/legs) and their girdles (shoulder/hip)
Dr. Saad Abdul Aziz. is a transverse fracture of the distal radius just above the wrist with dorsal displacement of the distal fragment. It’s the.
Wrist and Hand Chapter 18 May Anatomy Bones Carpal Bones are irregular shaped bones that articulate between the radius and ulna of the arm and the.
Common Upper Limb Injuries in Adults Fraser J Gill August 2015.
The Skeletal System The Shoulder (Pectoral) Girdle The bones of the pectoral girdle are the: Scapula (Shoulder Blade) Clavicle (Collar Bone) Clavicle Scapula.
Wrist and Scaphoid Index case term 1. Anatomy Can you name all these bones?
Head Capitulum Trochlea 12Intertubercular Sulcus 13Lateral Epicondyle Medial Epicondyle Radial Fossa Coronoid Fossa Deltoid Tuberosity.
PERIPHERAL Joint Mobilization Chapter 5 Part 4. PERIPHERAL JOINT MOBILIZATION TECHNIQUES.
Vascular Injuries Ligament Injuries Dislocations Fractures.
You may call me Dr. Vohra Elbow Radioulnar & Wrist Joints.
Upper extremity Fx.Dx. Kamrani R Sh MD Orthopaedic surgeon Hand surgeon.
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.
Upper limb cases. Case 1 A 23-year-old male reports that he was playing “hoops” with friends from college, tripped as he was driving to the basket, and.
Just if you thought you were having a bad day…. https://www.youtube.com/watch?v=r-2oPR3fptQ.
What am I? Articulations of the humerus, radius, and ulna. [ olecranon process ] Medial collateral ligament: 3 portions, anterior, posterior, oblique.
Chapter 4 Hand and Wrist. Hand Digits __________ Phalanx Metacarpals 1-5.
Wrist and Hand Wrist is the most complex joints of the body due to the numerous joints combined to create one.
Scaphoid non-union? SLIL (Scapho-Lunate Interosseus Ligament) avulsion?
Radio-Ulnar Fractures. Forearm Main function: – Pronation and supination – Origin of hand muscles Fractures in this area cause the most problems in upper.
REVIEW OF THE WRIST Bones, Actions/Movements, and Muscles.
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