Wrist and forearm injuries.
This elderly lady fell on her outstretched hand. What type of fracture do you think she has suffered?
The picture shows the classic "dinner fork" deformity seen in a Colles fracture.
This middle aged lady fell onto her hand with the wrist flexed. What injury does the picture show?
The picture shows a "Smith's fracture" which many remember by thinking of it as a "reverse" Colles fracture. With a Colles fracture it occurs with a fall on the extended wrist where as a Smith's fracture occurs when you fall on a flexed wrist.
In a patient with "carpal tunnel syndrome" which of these following responses best describes what they might have?
With more severe compression of the median nerve you can get weakness of the 3 thumb muscles it supplies (Flexor pollicis brevis, Opponens pollicis, Abductor pollicus brevis). Tinel's test is where you tap over the area of the median nerve and reproduce paresthesia in the nerve's distribution.
What is this type of fracture called?
These fractures are named from where that triangular piece of radius goes. Either in the palmar direction as seen here or the dorsal direction.
The two x-rays show a minimally displaced fractured distal radius and ulnar of Elvis Presley. How did he suffer this injury?
The x-rays were last sold at auction for $US 9,375 in 2015.
What type of fracture do you think this young skateboarder has suffered?
He suffered a Juvenile Colles fracture. I suppose wrist fractures are an occupational hazard of skateboarding.
What type of fracture do we see here?
The distal radial fracture is intra articular and usually comes from forced dorsi flexion and abduction of the wrist. Called a chauffeur fracture because chauffeurs got it when they tried to crank start old cars. This fracture often needs a pin to hold it.
What would you call this injury.
Needs to go to theatre for relocation and plating. Nasty.
What do we call this fracture dislocation?
People use mnemonics to remember it.
Most common is probably FROG---Fractured Radius Of Galleazzi.
What animal bit this 69yr old man and caused this nasty comminuted fractured radius and dislocated radiocarpal joint.
The man was trying to separate 2 pit bull terriers. The pit bulls terriers did not suffer any injuries. I think a lion would have simply eaten the hand.