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Published byRolf Weaver
Modified over 4 years ago
Pat Fleming Consultant Orthopaedic SurgeonOrthopaedic Trauma Pat Fleming Consultant Orthopaedic Surgeon
Orthopaedic Trauma Fractures Soft tissue injuriesMusculo-skeletal injury
Final Exams Recognition of orthopaedic injuryDescription of orthopaedic injury Appropriate terminology Principles of management of orthopaedic injuries - Emergency treatment - Definitive treatment
Trauma Blunt Penetrating E = mv2 High-velocity vs Low-velocity
Blunt AND penetrating
ATLS Advanced Trauma Life Support A-B-C-D-E
A-B-C-D-E Airway and cervical spine A Breathing B Circulation CDeformity Environment
Isolated Trauma Most common Isolated injury to spine / extremitiesUsually not life-threatening Limb-threatening Disabling
Fractures “An abnormal discontinuity in the skeleton” “A break”“A hairline crack”
Trauma - History History of the Injury - Mechanism of injuryHigh velocity or low velocity? Closed or open? Penetrating or blunt? Duration since injury
Velocity of Injury
Past Medical History History of previous injuriesIllnesses that may affect the prognosis Illnesses that may affect surgery Illnesses that may delay discharge
Examination of fracturesTenderness, crepitus, deformity Associated soft-tissue injuries Neurovascular damage X-ray
Description of a FractureWhich bone?
Description of a FractureWhich part of the bone ?
Joint surface Physis (Growth plate) Epiphysis Metaphysis Diaphysis
Description of a FractureOpen or Closed?
Description of a FractureFracture pattern?
Description of a FractureDeformity? Displacement Shortening
Description of a FractureDeformity? Angulation
Description of a FractureDeformity? Rotation
Plain X-rays 2 joints 2 planes 2 views
Emergency management Take a history Examine / consider other injuriesAnalgesia Splint the fracture
Fracture position Fracture stabilityDefinitive Fracture Treatment Fracture position Fracture stability
Stabilisation Plaster cast Internal fixation External fixation
Internal fixation Plates and screws K-wires (Kirschner)Intra-medullary nails
Fracture Union Clinically united - Non tender No movementRadiological union - Callus
Complications of ImmobilisationStiffness Muscle wasting Weakness Osteoporosis Bed-sores, chest infections, UTI’s, ileus, boredom
Stages in Fracture ManagementInitial assessment & first aid X-ray assessment Fracture reduction Stabilisation - Cast immobilisation Internal fixation External fixation Rehabilitation
Specific fractures Hip fractures Wrist fractures Ankle fractures
Specific soft-tissue injuriesLigament injuries at the knee Achilles’ tendon injuries Rotator cuff injuries Shoulder instability Finger dislocations
Fractures in Children NAI Growth plates Greenstick fracturesRapid union Remodelling
Musculoskeletal Injuries. Anatomy of bone Formed of dense connective tissue Store salt and metabolic material Production of RBCs bone marrow Joints Bones.
7.Knee injury ( Diagnosis???)
CONSERVATIVE TREATMENT OF FRACTURES
Tibial Plateau Fractures
Sadeq Al-Mukhtar Consultant orthopaedic surgeon
Fractures and Bone Healing
Dr. Maha Arafah 2013 MUSCULOSKELETAL BLOCK Pathology Fracture and bone healing.
MCQ 1-Acute osteomyelitis is commonly caused by: a. Staph aureus.
Adult Medical-Surgical Nursing Musculo-skeletal Module: Sports/ Soft Tissue Injuries.
FRACTURES By Mahima Charan 4th Year Medical Student.
Paediatric fractures in the Emergency Department October 2012
Fracture shaft of the femur While the powerful muscles surrounding the femur protect it from all but the powerful forces it cause sever displacement of.
Pediatric Forearm Fractures OTA RCFC Pediatric Considerations Periosteum Greenstick / Incomplete fractures Remodeling Cast technique.
Emergency care for Musculoskeletal system. The Skeletal System The Musculoskeletal system consists of: - Bones (skeleton) - Joints - Cartilages - Ligaments.
PRINCIPLES OF FRACTURES (ADULTS)
Assessment and Management of Shoulder and Elbow Fractures and Dislocations Yingda Li HMO Surgery May 2010.
Fractures general management. A high velocity injury should always be treated according to the Advanced Trauma Life Support (ATLS) guidelines with attention.
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