1. Injuries to the Upper Extremity
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2. Function vs Injury Degree of movement & dexterity Less stable
Susceptible to injuries
Crush
Avulsion
Dislocation
Fracture
FOOSH
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3. FOOSH Injuries from fingers to shoulder Dislocations Fractures Lunate
Phalanges
Humerus
Self relocate vs splint in place
Damage to artery and nerve
Fractures
hand
Scaphoid
Radius/Ulna
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4. Hand Common injuries Concerns Fractures Dislocations Crush
Mallet finger
Concerns
Volar plate
Pulley system
Tendons
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5. Wrist Complicated joints multiple articulations Median n. Scaphoid
Fx until proven otherwise
ORIF
Splint
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6. Elbow Dislocation Fracture Trauma - posterior Nursemaid – pediatrics
Palpation
Olecranon
Epicondyles
Neurovascular bundle
Great concern
Fracture
Supracondylar
Radial head
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7. Shoulder Humeral fractures low in sports
Radial nerve
Scapular fractures direct fall
Conservative treatment
Anterior dislocation
Most common dislocation
Recurrent often self relocate
AC separation
Clavicle fracture
Positions of Comfort AC
Clavicle
Dislocation
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8. Pearls Understand MOI Check neurovascular status Splinting
Scope of care re: dislocations
Transport
EMS
Coach or Parent
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