MODULE 5 & 6 ELBOW, WRIST, & HAND. ELBOW w Constitute 6% of all fractures.

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Presentation transcript:

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

HEAD DIE

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ELBOW POSITIONING SLIDES w AP w Lateral w Jones view w Oblique view - has been replaced by radial head - capitellum view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