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Common Fractures Amelia A Adams MD Martin I Boyer MD
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SUMMARY 1.Describe location of fracture 2.Describe probable mechanism 3.Describe displacement 4.Understand reasons for operative treatment of fractures 5.Know common eponyms
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LEG
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Inter troch Location? High energy or low energy fracture? Varus or valgus? Avascular necrosis or not? Natural history with/without operative fixation?
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Inter troch -fixed
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Fem neck Location? High energy or low energy fracture? Varus or valgus? Avascular necrosis or not? Natural history with/without operative fixation?
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Fem neck - fixed Comment on alignment, fixation?
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seg femur Diagnosis? High energy or low energy? Varus or valgus? Procurvatum or recurvatum (or neither)? Deforming forces (muscles)? Natural history with or without operative treatment? Complications?
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seg femur Diagnosis? High energy or low energy? Varus or valgus? Procurvatum or recurvatum (or neither)? Deforming forces (muscles)? Natural history with or without operative treatment? Complications?
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Tibia Diagnosis? High energy or low energy? Natural history with or without operative treatment? Complications?
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Tibia - fixed
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tibia - open Diagnosis? High energy or low energy? Natural history with or without operative treatment? Complications?
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tibia - open fixed
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lateral mal = boyers Diagnosis? Mechanism of injury? What is fractured? What is torn? Operative or non-operative treatment?
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PELVIS
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Pelvis: open book Diagnosis? High energy or low energy? Which hemipelvis is displaced? Natural history with or without operative treatment? Complications (acute and subacute)?
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Pelvis: open book - fix
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acetabulm, ramus Diagnosis? High energy or low energy? Mechanism of injury? What are common associated injuries? Complications (acute and subacute)? Treatment (operative or non-operative)?
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post dislocation Diagnosis? High energy or low energy? Mechanism of injury? What are common associated injuries? Complications (acute and subacute)? Treatment (operative or non-operative)?
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olecranon Diagnosis? Mechanism of injury? Which nerve is nearby? Why is this fracture treated operatively?
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olecranon - fix
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prox hum Diagnosis? High energy or low energy injury? ID coracoid, acromion, scapular body Anterior or posterior to glenoid? Reduction maneuver?
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Diagnosis? Varus or valgus? Nerve at greatest risk of injury? Operate or not?
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Hum shaft Diagnosis? High energy or low energy? Operative or non-operative treatment? Is past medical history important? Differential diagnosis for lesion?
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EPONYMS
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DR
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BBFx
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ulna - nondis
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buckle
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SUMMARY 1.Describe location of fracture 2.Describe probable mechanism 3.Describe displacement 4.Understand reasons for operative treatment of fractures 5.Know common eponyms
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