OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Trauma (Upper Limb)

Boxer’s Fracture

?   Fracture of the neck of the fifth metacarpal. Most common metacarpal fracture. Usually occurs after striking a hard object with a clenched fist. Mechanism of Injury Mechanism Direct axial load through a clenched fist. Commonly occurs after punching a wall or another person. Force is transmitted through the fifth metacarpal, causing fracture at […]

Distal Humerus Fractures

Courtesy – Dr Shawn W. O’Driscoll, Dr Ashok Shyam, Ortho TV   Management of Distal Humerus Fractures: Principles, Techniques, and Complications Priorities in Fracture Management Surgical goals must follow a strict hierarchy of precedence. Higher-ranked priorities must not be compromised for lower-ranked ones. If joint congruence cannot be maintained, motion must be withheld. Priority Level […]

Essex Lopresti Fractures

Courtesy Dr Randy Bindra, Dr Ashok Shyam, Ortho TV Essex-Lopresti Injuries: Biomechanics, Diagnosis, and Management Anatomical & Biomechanical Foundation Forearm rotation is an evolutionary specialization unique to humans. Patients tolerate wrist fusion well. They do not tolerate loss of pronation and supination. Load distribution at the wrist is 80% through the radius and 20% through […]

Terrible Triad of Elbow

Courtesy: Pierre Laumonerie MD, Paris, France Overview Term “Terrible Triad of the Elbow” coined in 1996 by O’Driscoll. Involves posterior elbow dislocation, radial head fracture, and coronoid process fracture. Historically poor outcomes due to complex instability. Anatomical Background Lateral Collateral Ligament (LCL) Complex: Includes radial collateral ligament and ulnar collateral ligament. Plays role in posterolateral […]

Distal Radius Fractures

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Distal Radius Fractures: Types, Biomechanics, and Management Colles Fracture Definition: An extra-articular distal radius fracture with dorsal displacement of the distal fragment. Mechanism: Low-energy fall onto an outstretched hand (FOOSH). Demographics: Most common in patients older than 50 years. Deformity: Classic dinner fork deformity caused by […]

Clavicle Fractures, Symptoms, Types, Diagnosis

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Clavicle Fractures: Anatomy, Indications, and Complications Anatomical Distribution & Age Considerations The clavicle is the most commonly fractured bone in the body. Middle Third (Midshaft): Accounts for approximately 80% of all fractures. It is the thinnest segment and lacks ligamentous reinforcement. Lateral Third: Accounts for roughly […]