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Minor injuries

Minor injuries. Mr Rob Simpson. Objectives. Understand what is meant by the term “minor injury” Mechanism, assessment and management of: Common upper limb injuries Common lower limb injuries Summary and close. What is a minor injury . No universally accepted definition

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Minor injuries

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  1. Minor injuries Mr Rob Simpson

  2. Objectives • Understand what is meant by the term “minor injury” • Mechanism, assessment and management of: • Common upper limb injuries • Common lower limb injuries • Summary and close

  3. What is a minor injury • No universally accepted definition • Primarily (but not universally) injuries to the non-axial skeleton that do not require admission to hospital as part of their management

  4. Upper limb injuries • Type of injury sustained depends upon: • Age • Mechanism • Forces involved

  5. The effect of age • FOOSH commonest injury mechanism • Most likely injury sustained depends on age of patient and force involved • Pre-school / school age: • Clavicle fracture • Supracondylar fracture • Buckle fracture of the radius

  6. Teens – adult • Clavicle fracture • Radial head fracture • Distal radial fracture • Scaphoid fracture • Elderly • Humeral neck fracture • Humeral shaft fracture • Colles/Smiths fracture

  7. Clavicle fracture • Mechanism • Assessment • Management

  8. Fracture of the radial head • Mechanism • Assessment • Management

  9. Buckle fracture of the distal radius • Mechanism • Assessment • Management

  10. Colles fracture • Mechanism • Assessment • Management • Haematoma block and reduction

  11. Scaphoid fracture • Mechanism • Assessment • ASB boundaries (next slide) • Management

  12. Lower limb injuries • Ankle sprains • Ankle fractures

  13. Surface anatomy demonstration

  14. Ankle sprains • Mechanism • Assessment • Ottowa Ankle rules • Management

  15. Ottowa ankle rules

  16. Ankle fractures • Mechanism • Assessment / Management • Gross deformity? • Weber Classsification • Cast or ORIF

  17. Weber’s classification

  18. Which Weber class are these ?

  19. Summary & Close • Age important in predicting likely injury pattern – especially in upper limb • Each injury has his own specific treatment regime: • Not just “sling and home” • Ankle sprains are very common • Essential to have a good understanding of management principles

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