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Fractures & Dislocations upper extremity

Fractures & Dislocations upper extremity. Dr S.H.Saeed ORTHOPAEDIC DEPARTMENT Yazd medical university Apr. 2010. 1. Fractures& dislocations upper extremity. Scapula Clavicle GH Humerus Elbow Radius & Ulna Wrist Hand. 2. Clavicle fractures. ANATOMY BIOMECHANICS MECHANISM

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Fractures & Dislocations upper extremity

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  1. Fractures & Dislocationsupper extremity Dr S.H.Saeed ORTHOPAEDIC DEPARTMENT Yazd medical university Apr. 2010 1

  2. Fractures& dislocationsupper extremity Scapula Clavicle GH Humerus Elbow Radius & Ulna Wrist Hand 2

  3. Clavicle fractures ANATOMY BIOMECHANICS MECHANISM CLASSIFICATION DIAGNOSIS TREATMENT COMPLICATION 3

  4. Clavicle fracturesanatomy Osseology Ligamentous ana. NV. 4

  5. Lig. anatomy 5

  6. BIOMECHANIC Strut function Suspensory function 6

  7. MECHANISM TRAUMA Fall on superolateral shoulder In 94% of 122 patients with clavicular fractures, Stanley et al. found the mechanism of injury to be consistent with a direct blow rather than a fall on the outstretched hand, which is widely believed to be the most common mechanism of injury 7

  8. CLASSIFICATION CRAIG: GROUP 1 GROUP 2 TYPE1 TYPE2 TYPE3 TYPE4 TYPE5 GROUP 3 TYPE1 TYPE2 TYPE3 TYPE4 TYPE5 8

  9. DIAGNOSIS 9

  10. Clavicle fractures 10

  11. Clavicle fractures 12

  12. Clavicle fractures 13

  13. TREATMENT A fracture of the clavicle, one of the most common bony injuries, rarely requires open reduction. 14

  14. 1.Nonunion. This is the most frequent indication for open reduction.    • 2.Neurovascular involvement..   • 3.Fracture of the lateral end near the acromioclavicular joint in an adult. • 4.A persistent wide separation of the fragments with interposition of soft tissue. • 5.Floating shoulder.

  15. Clavicle fractures 16

  16. Clavicle fractures 17

  17. 18

  18. COMPLICATIONS Neurovascular compromise Refracture Arthritis Malunion Nonunion 19

  19. Nonunion of clavicular fractures varies from 0.1% to 7% when treated without surgery. • Although displaced fractures of the clavicle often cannot be reduced and maintained in perfect position, cosmesis is acceptable, and functional results are uniformly excellent.

  20. GH dislocation ANATOMY MECHANISM CLASSIFICATION DIAGNOSIS TREATMENT COMPLICATION 21

  21. GH dislocation 22

  22. Anatomy 23

  23. Anatomy 24

  24. mechanism 25

  25. mechanism Convulsion Elec. shock 26

  26. classification 27

  27. GH dislocationdiagnosis 28

  28. 29

  29. GH dislocation 30

  30. GH dislocation 31

  31. GH dislocation 32

  32. GH dislocation 33

  33. GH dislocation 34

  34. GH dislocation 35

  35. GH dislocation 36

  36. GH dislocation 37

  37. GH dislocation 38

  38. GH dislocation 39

  39. GH dislocation 40

  40. GH dislocation 41

  41. GH dislocation 42

  42. GH dislocation 43

  43. GH dislocation 44

  44. GH dislocation 45

  45. GH dislocation 46

  46. GH dislocationcomplication 47

  47. GH dislocation 48

  48. GH dislocation 49

  49. GH dislocation 50

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