Traumatology of upper extremity II - forearm, wrist, hand
Traumatology of upper extremity II - forearm, wrist, hand
Info
Term
autumn 2021

Study material for the course: aVLCH0731c,  aVLCH0832c, aZLCH0732c, aZLCH0833c

Authors: MUDr. Jakub Habr, MUDr. Jan Konečný, Ph.D., MUDr. Roman Hasara, MUDr. Ondřej Veškrna

Department:   1st Department of Surgery, St. Anne's University Hospital, Faculty of Medicine, Masaryk University in Brno


Learning goals: Summary of upper extremity traumatology from elbow to hand including ligament injury.

Time estimate: 60-90 min

Introduction: Traumas of upper extremities are very common. In particular, distal radius fractures are typical for elderly people, usually as a result of trivial fall on an outstretched hand weakened by osteoporosis. On the other hand, in younger population, high energy trauma (sports, traffic injuries etc.) is prevalent. Severe trauma pattern with soft tissue and ligament injury can be observed. Basic knowledge of upper limb traumatology and the treatment is essential in everyday clinical practice.

Contents:

Basic anatomy of the forearm

Fractures of the proximal ulna and olecranon

Fractures of the radial head

Fractures of the diaphysis of the forearm - isolated

Fractures of the diaphysis of the forearm - both bones

Fractures of the dist. radius

Traumatology of the wrist - anatomy

Luxation injuries of the carpus

Scaphoid fractures

Fractures of other bones of the wrist

Fractures of the metacarpals

Fractures of phalanges

Luxation injuries of finger joints 


note - for image documentation, see the power point lecture

 

Take-home message:

·       Essential clinical examination – neurovascular state

·       X-ray diagnostics – 2 perpendicular projections

·       Distal radius fractures belong among the most common fractures, especially in elderly people as a result of a low energy trauma

·       Essential knowledge of non-surgical treatment techniques, immobilisation

Summary:

·       Summary of upper extremity traumatology from elbow to hand, including ligament injury.

·       Principles of treatment of basic upper limb traumas (non-surgical, surgical)

Literature:

Clinical Surgery: With Student Consult Access, 3e Paperback – 13 Feb 2012

Schwartz's Principles of Surgery, 10th edition,2015, Brunicardi F.CH et al. ISBN 978-0-07179674-3

Ashcraft's Pediatric Surgery: 6th edition, 2014, Holcomb G.W. et al. ISBN : 9781455743339

https://aotrauma.aofoundation.org/education