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MODULE 5 & 6 ELBOW, WRIST, & HAND
ELBOW w Constitute 6% of all fractures
w ADULT Radial head50% olecranon20% superocondylar10% fracture/ dislocation 15% w CHILD superocondylar60% lateral condyle15% medial 10% epicondyle
CHILDREN w Comparison views often needed
COLLES w Fracture of the distal radius w 20-35mm from articular surface w Posterior angulation of the distal fragment w Approximately 60% will have fracture of the ulnar styloid w Fall on an outstretched hand
COLLES FX FIG 9.185a
COLLES FX FIG 9.185b
SMITH’S w Fracture of the distal radius w Anterior angulation of the distal fragment
SMITH’S FX FIG 9.186a
SMITH’S FX FIG 9.186b
SMITH’S FX FIG 9.186c
GALEAZZI w Distal radius fracture with ulnar dislocation
GALEAZZI FX FIG 9.183
MONTEGGIA w Proximal ulnar fracture with radial dislocation
MONTEGGIA FX FIG 9.182
NORMAL X-RAY ANATOMY w Elbow w Wrist w Hand
ELBOW POSITIONING SLIDES w AP w Lateral w Jones view w Oblique view - has been replaced by radial head - capitellum view
WRIST POSITIONING SLIDES w PA w Ulnar Deviation w Lateral w Oblique
HAND POSITIONING SLIDES w PA w Oblique w Lateral
MEASUREMENTS w Axial relationships w Carpal alignment
Axial relationships FIG 2.74a
Carpal alignment FIG 2.74b
MOSBY – MERRILLS & BONTAGER
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