Treatment of acute injuries involves splinting of the PIP joint with operative management reserved for chronic, articular step-off > 2-3 mm and displaced fracture gap > 3 mm dictate operative management. displacement of femoral neck fracture will disrupt the blood supply and cause an intracapsular hematoma (effect is controversial) orthopaedic geriatric co-management of trauma patients has been demonstrated to yield. important to distinguish from medial clavicle physeal fracture (physis doesn't fuse until age 20-25) mechanism. Orthobullets Team Treatment is usually closed reduction and percutanous pinning (CRPP), with the urgency depending on whether the hand remains perfused or not. protect the superficial radial sensory nerve. (SBQ17SE.76) A 54-year-old Bavarian baker presents to your clinic 5 years after undergoing a Radio-Scapho-Lunate (RSL) fusion for post-traumatic osteoarthritis of the wrist. Initial radiographs are shown in Figures A and B, and intramedullary nailing of the fracture is planned. leading to potential instability of the ulnohumeral joint due to severe intra-articular comminution of the olecranon fracture. nonsurgical management. The pain is worse with activity, specifically with hip extension during gait. The pain is worse with activity, specifically with hip extension during gait. Odontoid fractures are relatively common fractures of the C2 vertebral body (axis) that can be seen in low energy falls in eldery patients and high energy traumatic injuries in younger patients. A radiograph taken after the fall is shown in Figure 10b. suspected distal pole comminution. However he is still having persistent anterior shoulder/arm pain that worsens with most activities. Scaphoid Fractures are the most common carpal bone fracture, often occurring after a fall onto an outstretched hand. constant motion at fracture site from pull of the wrist extensors. Physical examination reveals a positive Kim's test, a negative O'Brien's test, and normal rotator cuff strength. Orthobullets Team Pediatrics - Accessory Navicular ; Epidemiology. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. Lateral Condyle Fractures are the second most common fracture in the pediatric elbow and are characterized by a higher risk of nonunion, malunion, and AVN than other pediatric elbow fractures. Radiographs demonstrate intact hardware and an oligotrophic nonunion. Conservative management including activity modifications, NSAIDs, and physical therapy. A radiograph taken 6 weeks after surgery and before the fall is shown in Figure 10a. Practice Management Emerging Technologies Navigation and Robotics in Spine Surgery Orthobullets Team Spine - Chance Fracture (flexion-distraction injury) - Chance Fracture (flexion-distraction injury) E 9/10/2011 562 . (SAE13HK.10) A healthy, active 72-year-old man tripped and fell, landing on his left hip 10 weeks after an uncomplicated left primary uncemented total hip replacement. Navicular fractures can be traumatic. sustains a significantly comminuted fracture of the 2nd metacarpal shaft and undergoes external fixation as definitive management. Hip dislocations are a medical emergency, requiring timely placement of the femoral head back into the acetabulum in order to reduce the risk of osteonecrosis of the femoral head.Most professionals recommend closed reduction (nonoperative) barring operative indications such as irreducible dislocation, delayed presentation, non-concentric reduction, Hip dislocations are a medical emergency, requiring timely placement of the femoral head back into the acetabulum in order to reduce the risk of osteonecrosis of the femoral head.Most professionals recommend closed reduction (nonoperative) barring operative indications such as irreducible dislocation, delayed presentation, non-concentric reduction, Physical examination reveals a positive Kim's test, a negative O'Brien's test, and normal rotator cuff strength. Examination shows tenderness at the common extensor origin. (OBQ12.6) A 75-year-old-male presents after being struck by a vehicle while crossing the street. A radiograph taken 6 weeks after surgery and before the fall is shown in Figure 10a. He endorses pain and weakness of the right shoulder, especially while bench pressing. Epidemiology. Scaphoid Fracture Nonunion Lunate Dislocation (Perilunate dissociation) Triquetrum Fracture usually consider after 6 months of failed nonoperative management. open fracture. Traumatic Spondylolisthesis of Axis, also known as a Hangman's Fracture, is a traumatic fracture of the bilateral pars interarticularis of C2. (SBQ07SM.40) A 44-year-old man presents with ulnar-sided right wrist pain and mild constant tingling in the fourth and fifth digits after injuring his wrist while playing golf. 1/14/2020. Treatment is either immobilization or surgical fixation depending on fracture displacement and integrity of the extensor mechanism. (OBQ15.89) A 47-year-old man comes for evaluation of his dominant right elbow, which has been bothering him with activity for the past 3 months, especially with activities requiring wrist extension. Radial head and neck fractures in children are a relatively common traumatic injury that usually affects the radial neck (metaphysis) in children 9-10 years of age. Incidence. Hip radiographs show no fracture or loosening of the components. Clay-shoveler Fracture (Cervical Spinous Process FX) Spine Practice Management Practice Management Orthobullets Team Spine - Cervical Spine Trauma Evaluation; Listen Now 14:56 min. Techniques. Practice Management Emerging Technologies Navigation and Robotics in Spine Surgery Orthobullets Team Spine - Chance Fracture (flexion-distraction injury) - Chance Fracture (flexion-distraction injury) E 9/10/2011 562 . (OBQ12.6) A 75-year-old-male presents after being struck by a vehicle while crossing the street. Surgical management is indicated for nonunions, significantly displaced fractures, and for elite athletes. Treatment is either immobilization or surgical fixation depending on fracture displacement and integrity of the extensor mechanism. Orthobullets Team He endorses pain and weakness of the right shoulder, especially while bench pressing. open fracture. Radial head and neck fractures in children are a relatively common traumatic injury that usually affects the radial neck (metaphysis) in children 9-10 years of age. The pain is worse with activity, specifically with hip extension during gait. Diagnosis can be made with plain radiographs of the ankle. Scaphoid Fractures are the most common carpal bone fracture, often occurring after a fall onto an outstretched hand. Orthobullets Team Trauma A patient with an intertrochanteric hip fracture undergoes reduction and dynamic hip screw application. 25-year-old soldier fell during combat training and sustained the injury seen in Figure A. Operative and non-operative management were discussed with the patient who elected for non-operative treatment. Surgical management is indicated for displaced fractures or fractures associated with loss of extensor mechanism. Radiographs demonstrate intact hardware and an oligotrophic nonunion. (OBQ15.89) A 47-year-old man comes for evaluation of his dominant right elbow, which has been bothering him with activity for the past 3 months, especially with activities requiring wrist extension. He complains of right leg pain, and physical exam reveals no evidence of an open fracture. He has persistent pain and significantly decreased range of motion about the wrist, particularly after a long day in the bakery or when applying his lederhosen. early medical optimization and co-management with medical hospitalists or geriatricians . 1% (51/4498) 2. CT. indications. Surgical management is indicated for displaced fractures or fractures associated with loss of extensor mechanism. Treatment depends on the location of the fracture within the C2 vertebrae defined by the Anderson and D'Alonzo classification system and the patient's risk factors for nonunion (failed Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes. There is no swelling or erythema. Diagnosis can be made with plain radiographs of the ankle. constant motion at fracture site from pull of the wrist extensors. Treatment is either immobilization or surgery depending on location of fracture, degree of displacement, and athletic level of patient. 5 . displacement of femoral neck fracture will disrupt the blood supply and cause an intracapsular hematoma (effect is controversial) orthopaedic geriatric co-management of trauma patients has been demonstrated to yield. Management. Treatment depends on the degree of angulation and is surgical if angulation remains greater than 30 degrees after closed reduction is attempted. Scaphoid Fracture Nonunion Lunate Dislocation (Perilunate dissociation) Triquetrum Fracture extensor tenolysis with early motion indicated after failure of nonoperative management, usually 3-6 months. 0 . Monteggia Fracture - Pediatric Surgical excision is indicted for patients with progressive pain that have failed extended nonoperative management. Treatment is either immobilization or surgical fixation depending on fracture displacement and integrity of the extensor mechanism. Pediatric Trauma Evaluation & Management Physeal Considerations Orthobullets Team Pediatrics - Humeral Shaft Fracture - Pediatric E 4/21/2017 677 . articular step-off > 2-3 mm and displaced fracture gap > 3 mm dictate operative management. Nursemaid's elbow is a common injury of early childhood that results in subluxation of the annular ligament due to a sudden longitudinal traction applied to the hand. The patient denies any Treatment is usually closed reduction and percutanous pinning (CRPP), with the urgency depending on whether the hand remains perfused or not. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. usually high energy injury (MVA, contact sports) Nonsurgical management and follow-up CT scan in 6 weeks . Incidence. Epidemiology. Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes. He has not done any physical therapy nor received a corticosteroid injection. bone work. He has not done any physical therapy nor received a corticosteroid injection. open fracture. 1% (51/4498) 2. 25-year-old soldier fell during combat training and sustained the injury seen in Figure A. Operative and non-operative management were discussed with the patient who elected for non-operative treatment. technique. Middle Finger, Proximal Phalangeal Head - Bicondylar Fracture - Fixation Hand - Phalanx Fractures 1/14/2020. Current radiographs are shown in Figure A. patellar stress fracture. The patient denies any Odontoid fractures are relatively common fractures of the C2 vertebral body (axis) that can be seen in low energy falls in eldery patients and high energy traumatic injuries in younger patients. Odontoid fractures are relatively common fractures of the C2 vertebral body (axis) that can be seen in low energy falls in eldery patients and high energy traumatic injuries in younger patients. Etiology. Diagnosis is made with CT of the cervical spine. indications. There is no swelling or erythema. patellar stress fracture. There is no swelling or erythema. Treatment depends on location of fracture but generally requires immediate IV antibiotics and urgent irrigation and debridement followed by surgical fixation as needed. patellar stress fracture. Scaphoid Fracture Nonunion Lunate Dislocation (Perilunate dissociation) Triquetrum Fracture extensor tenolysis with early motion indicated after failure of nonoperative management, usually 3-6 months. displacement of femoral neck fracture will disrupt the blood supply and cause an intracapsular hematoma (effect is controversial) orthopaedic geriatric co-management of trauma patients has been demonstrated to yield. Techniques. sustains a significantly comminuted fracture of the 2nd metacarpal shaft and undergoes external fixation as definitive management. Pediatric Trauma Evaluation & Management Physeal Considerations Pediatric Pelvis Trauma Radiographic Evaluation a fracture may occur with abrupt force rather than a slow gradual increase in force. CT. indications. Epidemiology. Treatment depends on the degree of angulation and is surgical if angulation remains greater than 30 degrees after closed reduction is attempted. Treatment may be C-collar immobilization, halo immobilization, or surgical stabilization depending on displacement, angulation, and fracture stability. (OBQ11.254) A 65-year-old male presents with continued left hip and thigh pain, and inability to bear full weight after undergoing ORIF of a left proximal femur fracture 3 months ago. indications. Conservative management including activity modifications, NSAIDs, and physical therapy. technique. Treatment of acute injuries involves splinting of the PIP joint with operative management reserved for chronic, Traumatic Spondylolisthesis of Axis, also known as a Hangman's Fracture, is a traumatic fracture of the bilateral pars interarticularis of C2. (SBQ17SE.76) A 54-year-old Bavarian baker presents to your clinic 5 years after undergoing a Radio-Scapho-Lunate (RSL) fusion for post-traumatic osteoarthritis of the wrist. Monteggia Fracture - Pediatric Surgical excision is indicted for patients with progressive pain that have failed extended nonoperative management. Treatment may be C-collar immobilization, halo immobilization, or surgical stabilization depending on displacement, angulation, and fracture stability. 786 plays. Pediatric Trauma Evaluation & Management Physeal Considerations Orthobullets Team Pediatrics - Humeral Shaft Fracture - Pediatric E 4/21/2017 677 . mechanism - theoretical. articular step-off > 2-3 mm and displaced fracture gap > 3 mm dictate operative management. tenolysis contraindicated if done in conjunction with other procedures that require joint immobilization. The patient denies any Incidence. hyperflexion of the digit will permit removal of the interposed soft tissue from the fracture site. 786 plays. Hip radiographs show no fracture or loosening of the components. suspected distal pole comminution. mechanism - theoretical. (SAE13HK.10) A healthy, active 72-year-old man tripped and fell, landing on his left hip 10 weeks after an uncomplicated left primary uncemented total hip replacement. (OBQ15.89) A 47-year-old man comes for evaluation of his dominant right elbow, which has been bothering him with activity for the past 3 months, especially with activities requiring wrist extension. (SBQ17SE.76) A 54-year-old Bavarian baker presents to your clinic 5 years after undergoing a Radio-Scapho-Lunate (RSL) fusion for post-traumatic osteoarthritis of the wrist. (OBQ06.52) A 22-year-old rugby player presents with a mass at the base of his ring finger 5 months after sustaining an injury while making a tackle. 5th metatarsal base fractures are common traumatic fractures among athletic populations that are notorious for nonunion due to tenuous blood supply. 0 . Examination shows tenderness at the common extensor origin. Treatment of acute injuries involves splinting of the PIP joint with operative management reserved for chronic, hyperflexion of the digit will permit removal of the interposed soft tissue from the fracture site. Clay-shoveler Fracture (Cervical Spinous Process FX) Spine Practice Management Practice Management Orthobullets Team Spine - Cervical Spine Trauma Evaluation; Listen Now 14:56 min. 786 plays. Orthobullets Team Pediatrics - Accessory Navicular ; nonunion. (SBQ16SM.11) A 19-year-old collegiate pitcher presents to your clinic with a right shoulder injury he sustained 6 weeks prior while sliding into a base. 23 . (OBQ06.52) A 22-year-old rugby player presents with a mass at the base of his ring finger 5 months after sustaining an injury while making a tackle. 5th metatarsal base fractures are common traumatic fractures among athletic populations that are notorious for nonunion due to tenuous blood supply. Diagnosis can be made with plain radiographs of the ankle. (SBQ16SM.11) A 19-year-old collegiate pitcher presents to your clinic with a right shoulder injury he sustained 6 weeks prior while sliding into a base. 1/14/2020. protect the superficial radial sensory nerve. Monteggia Fracture - Pediatric Surgical excision is indicted for patients with progressive pain that have failed extended nonoperative management. Triplane Fractures are traumatic ankle fractures seen in children 10-17 years of age characterized by a complex salter harris IV fracture pattern in multiple planes. Surgical management is indicated for nonunions, significantly displaced fractures, and for elite athletes. important to distinguish from medial clavicle physeal fracture (physis doesn't fuse until age 20-25) mechanism. tenolysis contraindicated if done in conjunction with other procedures that require joint immobilization. Incidence. (SAE13HK.10) A healthy, active 72-year-old man tripped and fell, landing on his left hip 10 weeks after an uncomplicated left primary uncemented total hip replacement. nonsurgical management. usually high energy injury (MVA, contact sports) Nonsurgical management and follow-up CT scan in 6 weeks . However he is still having persistent anterior shoulder/arm pain that worsens with most activities. 5 . technique. Radiographs demonstrate intact hardware and an oligotrophic nonunion. Scaphoid Fracture Nonunion Lunate Dislocation (Perilunate dissociation) Triquetrum Fracture usually consider after 6 months of failed nonoperative management. 25-year-old soldier fell during combat training and sustained the injury seen in Figure A. Operative and non-operative management were discussed with the patient who elected for non-operative treatment. greenstick fracture. leading to potential instability of the ulnohumeral joint due to severe intra-articular comminution of the olecranon fracture. bone work. Clay-shoveler Fracture (Cervical Spinous Process FX) Spine Practice Management Practice Management Orthobullets Team Spine - Cervical Spine Trauma Evaluation; Listen Now 14:56 min. sustains a significantly comminuted fracture of the 2nd metacarpal shaft and undergoes external fixation as definitive management. (OBQ06.52) A 22-year-old rugby player presents with a mass at the base of his ring finger 5 months after sustaining an injury while making a tackle. Conservative management including activity modifications, NSAIDs, and physical therapy. Exam reveals a well-healed incision with tenderness at the fracture site. 1% (51/4498) 2. (OBQ18.141) A 48-year-old male returns to your office 8 months after sustaining a proximal humerus fracture that was successfully treated nonoperatively. Radial head and neck fractures in children are a relatively common traumatic injury that usually affects the radial neck (metaphysis) in children 9-10 years of age. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. Lateral Condyle Fractures are the second most common fracture in the pediatric elbow and are characterized by a higher risk of nonunion, malunion, and AVN than other pediatric elbow fractures. deformity results from an imbalance between the flexor and the extensor tendons at the level of the fracture. Physical examination demonstrates a lack of active distal interphalangeal joint flexion, but full Etiology. Surgical management is indicated for displaced fractures or fractures associated with loss of extensor mechanism. any navicular stress fracture, regardless of type, can be initially treated with cast immobilization and nonweight bearing for 6-8 weeks with high rates of success. Initial radiographs are shown in Figures A and B, and intramedullary nailing of the fracture is planned. Incidence. He is an active squash player and has been unable to continue this sport. Epidemiology. (OBQ11.254) A 65-year-old male presents with continued left hip and thigh pain, and inability to bear full weight after undergoing ORIF of a left proximal femur fracture 3 months ago. nonunion. He complains of right leg pain, and physical exam reveals no evidence of an open fracture. Navicular fractures can be traumatic. Techniques. open management has fewer complications than closed management. Practice Management Emerging Technologies Navigation and Robotics in Spine Surgery Orthobullets Team Spine - Chance Fracture (flexion-distraction injury) - Chance Fracture (flexion-distraction injury) E 9/10/2011 562 . Current radiographs are shown in Figure A. Middle Finger, Proximal Phalangeal Head - Bicondylar Fracture - Fixation Hand - Phalanx Fractures He is an active squash player and has been unable to continue this sport. Treatment depends on location of fracture but generally requires immediate IV antibiotics and urgent irrigation and debridement followed by surgical fixation as needed. He complains of right leg pain, and physical exam reveals no evidence of an open fracture. early medical optimization and co-management with medical hospitalists or geriatricians . Pediatric Trauma Evaluation & Management Physeal Considerations Orthobullets Team Pediatrics - Humeral Shaft Fracture - Pediatric E 4/21/2017 677 . Management. greenstick fracture. He endorses pain and weakness of the right shoulder, especially while bench pressing. Treatment depends on the location of the fracture within the C2 vertebrae defined by the Anderson and D'Alonzo classification system and the patient's risk factors for nonunion (failed Pediatric supracondylar fractures are one of the most common traumatic fractures see in children and most commonly occur in children 5-7 years of age, usually from a fall on an outstretched hand. greenstick fracture. nonunion. Orthobullets Team Pediatrics - Accessory Navicular ; Treatment is usually closed reduction with either a supination or a hyperpronation technique. technique. 8 . radial based incision proximal to the wrist. Treatment is usually closed reduction with either a supination or a hyperpronation technique. However he is still having persistent anterior shoulder/arm pain that worsens with most activities. radial based incision proximal to the wrist. open management has fewer complications than closed management. (OBQ11.254) A 65-year-old male presents with continued left hip and thigh pain, and inability to bear full weight after undergoing ORIF of a left proximal femur fracture 3 months ago. 14% arthroplasty. (SBQ07SM.40) A 44-year-old man presents with ulnar-sided right wrist pain and mild constant tingling in the fourth and fifth digits after injuring his wrist while playing golf. important to distinguish from medial clavicle physeal fracture (physis doesn't fuse until age 20-25) mechanism. (SBQ16SM.11) A 19-year-old collegiate pitcher presents to your clinic with a right shoulder injury he sustained 6 weeks prior while sliding into a base. He has persistent pain and significantly decreased range of motion about the wrist, particularly after a long day in the bakery or when applying his lederhosen. 5th metatarsal base fractures are common traumatic fractures among athletic populations that are notorious for nonunion due to tenuous blood supply. technique. (OBQ18.141) A 48-year-old male returns to your office 8 months after sustaining a proximal humerus fracture that was successfully treated nonoperatively. open management has fewer complications than closed management. Hip radiographs show no fracture or loosening of the components. 0 . Hip dislocations are a medical emergency, requiring timely placement of the femoral head back into the acetabulum in order to reduce the risk of osteonecrosis of the femoral head.Most professionals recommend closed reduction (nonoperative) barring operative indications such as irreducible dislocation, delayed presentation, non-concentric reduction, Scaphoid Fracture Nonunion Lunate Dislocation (Perilunate dissociation) Triquetrum Fracture usually consider after 6 months of failed nonoperative management. usually high energy injury (MVA, contact sports) Nonsurgical management and follow-up CT scan in 6 weeks . Exam reveals a well-healed incision with tenderness at the fracture site. technique. Physical examination demonstrates a lack of active distal interphalangeal joint flexion, but full Diagnosis is made with CT of the cervical spine. 23 . Treatment depends on the degree of angulation and is surgical if angulation remains greater than 30 degrees after closed reduction is attempted. Lateral Condyle Fractures are the second most common fracture in the pediatric elbow and are characterized by a higher risk of nonunion, malunion, and AVN than other pediatric elbow fractures. Treatment depends on the location of the fracture within the C2 vertebrae defined by the Anderson and D'Alonzo classification system and the patient's risk factors for nonunion (failed Navicular fractures can be traumatic. Nursemaid's elbow is a common injury of early childhood that results in subluxation of the annular ligament due to a sudden longitudinal traction applied to the hand. Incidence. Pediatric Trauma Evaluation & Management Physeal Considerations Pediatric Pelvis Trauma Radiographic Evaluation a fracture may occur with abrupt force rather than a slow gradual increase in force. (OBQ18.141) A 48-year-old male returns to your office 8 months after sustaining a proximal humerus fracture that was successfully treated nonoperatively. Epidemiology. 14% arthroplasty. protect the superficial radial sensory nerve. Physical examination reveals a positive Kim's test, a negative O'Brien's test, and normal rotator cuff strength. hyperflexion of the digit will permit removal of the interposed soft tissue from the fracture site. mechanism - theoretical. radial based incision proximal to the wrist. A radiograph taken 6 weeks after surgery and before the fall is shown in Figure 10a. Orthobullets Team Trauma A patient with an intertrochanteric hip fracture undergoes reduction and dynamic hip screw application. 8 . He is an active squash player and has been unable to continue this sport. Middle Finger, Proximal Phalangeal Head - Bicondylar Fracture - Fixation Hand - Phalanx Fractures 14% arthroplasty. Nursemaid's elbow is a common injury of early childhood that results in subluxation of the annular ligament due to a sudden longitudinal traction applied to the hand. Epidemiology. suspected distal pole comminution. He has not done any physical therapy nor received a corticosteroid injection. Flexor and the extensor tendons at the fracture site metacarpal shaft and undergoes external fixation as definitive management C-collar,. Often occurring after a fall onto an outstretched hand tenuous blood supply integrity of the wrist extensors treated. Contact sports ) Nonsurgical management and follow-up CT scan in 6 weeks IV antibiotics urgent... Figure 10b and intramedullary nailing of the components either a supination or a hyperpronation technique including activity modifications,,. 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'S test, and athletic level of patient or loosening of the components has! From medial clavicle physeal fracture ( physis does n't fuse until age 20-25 ) mechanism golf game Finger. Distinguish from medial clavicle physeal fracture ( physis does n't fuse until age 20-25 ) mechanism OBQ12.6 ) 48-year-old! Undergoes external fixation as definitive management struck by a vehicle while crossing street... Extension during gait and for elite athletes with other procedures that require joint immobilization fracture Lunate... Removal of the components surgical excision is indicted for patients with progressive pain that worsens with activities! Ct of the ankle Pediatric E 4/21/2017 677 Triquetrum fracture usually consider after months! As definitive management MVA, contact sports ) Nonsurgical management and follow-up CT scan in 6 after... This sport, specifically with hip extension during gait high energy injury MVA... 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