Study material for the course: aVLCH0731c, aVLCH0832c, aZLCH0732c, aZLCH0833c
Authors:
MUDr. Jakub Habr,
MUDr. Jan Konečný, Ph.D., MUDr. Roman Hasara, MUDr. Ondřej Veškrna
Department: 1st Department of Surgery, St. Anne's University Hospital, Faculty of Medicine, Masaryk University in Brno
Learning goals: Summary of upper extremity traumatology from elbow to
hand including ligament injury.
Time estimate: 60-90 min
Introduction: Traumas of upper extremities are very common. In
particular, distal radius fractures are typical for elderly people, usually as
a result of trivial fall on an outstretched hand weakened by osteoporosis. On
the other hand, in younger population, high energy trauma (sports, traffic
injuries etc.) is prevalent. Severe trauma pattern with soft tissue and
ligament injury can be observed. Basic knowledge of upper limb traumatology and
the treatment is essential in everyday clinical practice.
Contents:
Basic
anatomy of the forearm
Fractures
of the proximal ulna and olecranon
Fractures
of the radial head
Fractures
of the diaphysis of the forearm - isolated
Fractures
of the diaphysis of the forearm - both bones
Fractures
of the dist. radius
Traumatology
of the wrist - anatomy
Luxation
injuries of the carpus
Scaphoid
fractures
Fractures
of other bones of the wrist
Fractures
of the metacarpals
Fractures
of phalanges
Luxation
injuries of finger joints
note - for image documentation, see the power
point lecture
Take-home message:
·
Essential clinical examination –
neurovascular state
·
X-ray diagnostics – 2 perpendicular
projections
·
Distal radius fractures belong among the
most common fractures, especially in elderly people as a result of a low energy
trauma
·
Essential knowledge of non-surgical treatment
techniques, immobilisation
Summary:
·
Summary of upper extremity
traumatology from elbow to hand, including ligament injury.
· Principles
of treatment of basic upper limb traumas (non-surgical, surgical)
Literature:
Clinical
Surgery: With Student Consult Access, 3e Paperback – 13 Feb 2012
Schwartz's
Principles of Surgery, 10th edition,2015, Brunicardi F.CH et al. ISBN
978-0-07179674-3
Ashcraft's
Pediatric Surgery: 6th edition, 2014, Holcomb G.W. et al. ISBN : 9781455743339
https://aotrauma.aofoundation.org/education