Upper extremity fractures. Medical search. Frequent questions

Vascular trauma of the upper extremity has become increasingly common and can be subcategorized into penetrating trauma, blunt force trauma, and iatrogenic injuries. (medscape.com)
The surgeon must be knowledgeable of the relevant vascular anatomy and of the surgical techniques available to treat upper extremity vascular injuries. (medscape.com)
Conservative, nonsurgical management of arteriographically detected, nonocclusive, and asymptomatic arterial injuries in the upper extremity remains controversial. (medscape.com)
Treatment of upper extremity vascular injuries has evolved considerably during wartime conflict. (medscape.com)
Interestingly, ligation of major arteries would remain the mainstay of treatment for upper extremity vascular injuries until the Korean War. (medscape.com)
Distal humerus fractures in adults are relatively uncommon injuries, representing only about 3% of all fractures in adults. (medscape.com)
In young adults, most distal humerus fractures occur from high-energy trauma, sideswipe injuries, motor vehicle accidents, falls from heights, and gunshot wounds. (medscape.com)
These fractures have been associated with higher energy injuries compared to other elbow fractures. (posna.org)
Our expertise includes every possible condition, including nerve damage, limb differences, sports injuries and fractures. (jdch.com)
Including all injuries, not just fractures, hospital emergency rooms received more than 1 million visits from people injured in trampoline accidents during those 10 years, boosting the emergency room bills to just over $1 billion, according to the study. (iu.edu)
About 60 percent of the fractures were upper-extremity injuries, notably fingers, hands, forearms and elbows. (iu.edu)
Dr. Devon Banda, a fellowship trained orthopedic hand and upper extremity surgeon who recently joined the medical staff at McLaren Port Huron, explains some of the common hand and wrist injuries and how to treat them. (mclaren.org)
Dr. Mudgal is an expert in upper extremity trauma and has published extensively on fractures, tendon injuries affecting the hand, wrist forearm and elbow. (massgeneral.org)
This section is intended to be used only as a guide and basic outline for physicians making rating examinations of individuals who have had industrial injuries to their spine or extremities because in many cases there are intangible factors which cannot be stereotyped but must be considered. (nc.gov)
Colles fractures are serious, painful injuries that require immediate medical attention. (handandwristinstitute.com)
Arkansas Children's Sports Medicine provides treatment and prevention of knee injuries, ACL tears, ankle injuries, labral tears, fractures and more in athletes. (archildrens.org)
This natural reflect results in injuries to the wrists, fracture to the collarbone, or clavicle, or shoulder injuries. (jeffreysglassman.com)
After a crash, bicyclists often suffer skull fractures, concussions, brain contusions and other traumatic brain injuries. (jeffreysglassman.com)
The most common factors associated with nonfatal injuries included contact with objects (event), walking on vessel and hauling gear (work activities), and fractures and open wounds (nature). (cdc.gov)
When two or more injuries or illnesses are indicated and one is more severe than the other(s) and is not a sequela or complication of the other injury or illness, select the more severe injury or illness Example: For sprained finger and fractured wrist, choose Fractures . (cdc.gov)
Example: For injuries to arms and knees, choose Upper and lower limb(s) . (cdc.gov)
Most of the injuries (60%) involved soft tissue, but 38% involved fractures. (medscape.com)

A hand or upper extremity fracture occurs when a break or crack in the bone occurs in either the hand, wrist, fingers, forearm, elbow and upper arm. (balancehealth.com)
Bone fractures are classified into different types based on the location of the break, force of the njury, pattern of the fracture, and its exposure. (balancehealth.com)
This type of fractures occurs as a straight, horizontal line going across the bone shaft. (balancehealth.com)
In this type of fracture, the break is an angled line across the shaft of the bone. (balancehealth.com)
This is a severe type of fracture where the bone breaks into three or more pieces. (balancehealth.com)
The fracture line will encircle the bone. (balancehealth.com)
Also referred to as a hairline fracture, this break appears as small thin cracks in the bone and occurs due to overuse and/or wear and tear. (balancehealth.com)
The olecranon is the proximal extremity of the ulna which is articulated with the humerus bone and constitutes a part of the elbow articulation. (wikipedia.org)
For example: extensive comminutions, elderly patients with osteoporotic bone, and small or non-union fractures. (wikipedia.org)
Postural sway is an independent risk factor for bone fractures in postmenopausal women, according to a new study from the University of Eastern Finland and Kuopio University Hospital, published in Journal of Bone and Mineral Research . (ptproductsonline.com)
In addition, a combination of high postural sway and low bone mineral density was associated with a five times higher overall fracture risk and an 11 times higher osteoporotic fracture risk, the study suggests. (ptproductsonline.com)
In addition, we wanted to study the combined effect of high postural sway and low bone mineral density on fracture risk," says Early Stage Researcher Sarang Qazi, the first author of the new study, in the releasze. (ptproductsonline.com)
The study was based on the OSTPRE (Kuopio Osteoporosis Risk Factor and Prevention Study) cohort, which was initiated in 1989 in order to study bone mineral loss, falls, and fractures in postmenopausal women. (ptproductsonline.com)
Further, a combination of high postural sway and low bone mineral density resulted in a five times higher overall fracture risk and an 11 times higher osteoporotic fracture risk compared to the low-risk group. (ptproductsonline.com)
The "bag of bones" treatment was used when bone quality or fracture pattern was not sufficient to gain stable fixation. (medscape.com)
The most commonly injured bone in the upper extremity is the distal radius, one of the two bones that make up the forearm and wrist. (mclaren.org)
As a consequence of this bone fragility, patients have an increased (~50%) risk of fracture. (medscape.com)
[ 12 ] This risk of fractures or bone deformity is higher in the long bones (eg, femur, tibia, and humerus), but all the bones can be affected. (medscape.com)
The most common surgical indications are fracture of a weightbearing bone and progressive disease. (medscape.com)
For nature of injury, the most common type were fractured bone (309), open would (77), and bums (32). (cdc.gov)
A Colles fracture is a type of broken wrist in which an impact to your hand transfers energy to your radius (arm bone). (handandwristinstitute.com)
The broken bone tilts upward and away from the center of the body, making it a type of distal fracture with dorsal angulation. (handandwristinstitute.com)
A scaphoid fracture is a type of broken wrist in which you break the small bone near the base of your thumb. (handandwristinstitute.com)
Scaphoid fractures may involve you breaking one or more of the three parts of this bone. (handandwristinstitute.com)
A displaced scaphoid fracture occurs when the pieces of your bone move enough to create a gap around the break. (handandwristinstitute.com)
The exclusion criteria are as follows: below 50 years of age, cognitive or linguistic impairment, insufficient glenoid bone stock, previous fracture in the upper extremity and autoimmune-mediated inflammatory arthritis. (lu.se)

Trauma to the elbow often results in comminuted fractures of the olecranon. (wikipedia.org)
7] Kannus P, Palvanen M, Niemi S, Parkkari J, Jarvinen M. Increasing number and incidence of low-trauma ankle fractures in elderly people: Finnish statistics during 1970-2000 and projections for the future. (degruyter.com)
Ability to evaluate and manage, both operatively and non-operatively, extremity trauma, including fractures, with emphasis on the shoulder and knee. (utmb.edu)
Ability to evaluate and manage extremity trauma with an emphasis on the pelvis, hip and upper femur, both operatively and non-operatively. (utmb.edu)
Fractures are typically caused from trauma such as a fall or accident and are diagnosed through physical exam and X-ray. (mclaren.org)
In this role, he has lectured extensively on aspects of upper limb trauma in various parts of the world. (massgeneral.org)
Colles and scaphoid fractures may occur if your wrist experiences any type of trauma. (handandwristinstitute.com)
Kim W. Imaging of extremity trauma. (medlineplus.gov)

Type III: Displaced unstable fracture - In this case, the fracture fragments are displaced and the forearm is unstable in relation to the humerus. (wikipedia.org)
Fractures and Dislocations: Shoulder, Elbow, and Forearm. (yale.edu)
We present two case reports of successful primary shortening of the forearm and total wrist arthroplasty (TWA) using the new angle-stable Maestro Wrist Reconstructive System (WRS) for treatment of highly comminuted distal radius fracture in selected autonomous patients. (hindawi.com)

Clinical outcomes and shoulder kinematics for the "gray zone" extra-articular scapula fracture in 5 patients. (cdc.gov)

According to the results, women with the highest postural sway had a two times higher risk for any fracture and for osteoporotic wrist, upper arm, spine, or hip fracture compared to women with the lowest postural sway. (ptproductsonline.com)
Our program is home to uncommon expertise in spine conditions, hip preservation, upper extremity disorders, sports medicine and several other specialties. (jdch.com)
Just over 4 percent involved fractures to the axial skeleton, including the spine, head, and ribs and sternum. (iu.edu)

The clinical presentation of a supracondylar humerus fracture (SCHF) is that of a painful swollen elbow that the patient is hesitant to move. (medscape.com)
Lateral condyle fractures are the second most common elbow fracture after the supracondylar humerus fracture in children. (posna.org)

a) What type of fracture is this? (rch.org.au)
Anyone can sustain either type of fracture, but Colles fractures are most common in women aged 60 and older with osteoporosis. (handandwristinstitute.com)
This condition weakens your bones and can increase a patient's risk of any type of fracture. (handandwristinstitute.com)

It is a fracture -dislocation. (wikipedia.org)
We report the case of an 18-year-old female who sustained a left acetabulum fracture with a concurrent hip dislocation at 35 weeks' gestation following a motor vehicle accident. (hindawi.com)
We report a case of an 18-year-old female who was involved in an MVA and subsequently sustained a left acetabulum fracture with concomitant hip dislocation as well as a right distal radius fracture. (hindawi.com)
Radiographs were obtained demonstrating a left-sided, displaced transverse posterior wall acetabulum fracture with concomitant hip dislocation as well as a right-sided, volarly displaced distal radius and ulnar styloid fracture (Figures 1 and 2 ). (hindawi.com)
Reduction of the hip fracture-dislocation was attempted. (hindawi.com)
however, a postreduction CT scan demonstrated residual dislocation due to instability imparted by a large posterior wall fracture fragment. (hindawi.com)

Cyclists suffer clavicle fractures often, which can require surgery to correct or leave permanent deformities. (jeffreysglassman.com)

Predictors of short-term functional outcome following ankle fracture surgery. (degruyter.com)
Dr. Surbhi Panchal is a board certified orthopedic surgeon and fellowship trained in Hand & Upper extremity surgery. (ibji.com)
Dr. Panchal has conducted research on surgical outcomes of upper extremity patients, has been published in orthopedic peer-reviewed journals, and authored several chapters in medical texts on elbow and hand surgery. (ibji.com)
The Joint Arthroplasty service emphasizes reconstructive surgery of the hip, including proximal femoral and pelvic osteotomies, arthroplasty, and fixation of pelvic fractures. (utmb.edu)
American Society for Surgery of the Hand Textbook of Hand and Upper Extremity Surgery. (yale.edu)
The research, published online in the Journal of Pediatric Orthopedics, is the first to analyze trampoline fracture patterns in a large population drawn from a national database, said the study's lead author, Randall T. Loder, M.D., chair of the IU School of Medicine Department of Orthopaedic Surgery and a surgeon at Riley Hospital for Children at IU Health. (iu.edu)
Dr. Mudgal went on to complete an additional Orthopaedic Residency in the Harvard Combined Orthopaedic Residency Program in Boston, and a Fellowship in Hand and Upper Extremity Surgery at Cleveland Clinic and Case Western Reserve University. (massgeneral.org)
Where a joint of the lower extremity has reparative, reconstructive surgery and a part of the joint removed or repaired with resultant osteoarthritis or traumatic arthritis anticipated, consider a minimum of 10% impairment of the joint. (nc.gov)

Factors associated with mobility outcomes in older people post-ankle fracture: an observational cohort study focussing on peripheral vessel function. (degruyter.com)
Our paper presents the outcomes of five such scapula fractures treated non-operatively. (cdc.gov)
Through a comprehensive, team-based approach, the patient was successfully guided through obstetric delivery and fixation of her acetabular and wrist fractures with successful outcomes experienced by both the mother and her child. (hindawi.com)

To assess an olecranon fracture, a careful skin exam is performed to ensure there is no open fracture. (wikipedia.org)

Surgical treatment of fibrous dysplasia is indicated in the prevention or treatment of fractures or major deformity. (medscape.com)
This section will briefly review the common affected locations of fibrous dysplasia, fibrous dysplasia deformity and fracture, and malignant transformation for this lesion. (medscape.com)
Almost 75% of patients with polyostotic fibrous dysplasia are symptomatic, with pain, deformity, or pathologic fractures. (medscape.com)

Lateral condyle fractures account for 12-20% of all pediatric distal humerus fractures. (posna.org)

However, olecranon fractures are a common injury in adults. (wikipedia.org)
During the US Civil War, options for repair of upper extremity vascular injury failed to exist, resulting in amputation of the affected extremity(s). (medscape.com)
Based on injury imaging, these five patients had scapula fractures in the "gray zone. (cdc.gov)
Internal oblique views are paramount in identification of this injury as the fracture fragment often displaces posterolateral, so the displacement can be most appreciated with this view. (posna.org)
Considering that most fractures among older adults are caused by falls,[1] this commentary outlines how to assess which older cancer patient is at risk of fracture and which older cancer patient is at risk for falling in order to prevent significant injury. (cancernetwork.com)
Her specialty areas include upper extremity injury and sports medicine. (wakehealth.edu)
This move is especially important if your injury is a fracture, which is more serious than a typical sprain or strain. (handandwristinstitute.com)
An X-ray can reveal if you have a Colles or scaphoid fracture and provide insight into the severity of the injury. (handandwristinstitute.com)
Broken bones can range in severity from a simple fracture to a compound fracture to a crushing injury. (jeffreysglassman.com)
The children were aged 6-17 years, had a musculoskeletal injury to either an upper or lower extremity, had pain scores above an established threshold on a visual analog scale, and otherwise had no restrictions against taking one of the study medications. (medscape.com)

Numerous classification schemes have been devised to categorize and discuss supracondylar fractures. (medscape.com)
5] As surgeons became more adept at surgical reduction and internal fixation, the Arbeitsgemeinschaft für Osteosynthesefragen-Association for the Study of Internal Fixation (AO-ASIF) group described a classification based on fracture pattern and degree of comminution (see Classification). (medscape.com)
This classification remains somewhat deficient in describing the mechanically important concept of the medial and lateral columns and their fracture involvement. (medscape.com)
Because of these limitations, this author believes that the classification of bicolumn fractures of the distal humerus introduced by Mehne and Matta proves useful in planning bicolumn surgical fixation. (medscape.com)
The classification of Mehne and Matta describes the specific characteristics of bicolumn fractures and allows for better preoperative planning. (medscape.com)
Although the medial and lateral lambda fractures are not technically bicolumn fractures, they are included in this classification because they require similar operative fixation techniques (see the image below). (medscape.com)

Surgical versus conservative interventions for treating ankle fractures in adults. (degruyter.com)
During her residency, Dr. Panchal participated in a mission to the Dominican Republic to provide surgical care to local communities lacking access to general orthopedics and specialized upper extremity care. (ibji.com)
For complicated fractures, computed tomography (CT) also can be helpful with regard to surgical planning. (medscape.com)
Surgical treatment of supracondylar fractures has evolved significantly over the past few decades. (medscape.com)
Treatment will depend on the extent of the fracture from simple splinting or casting to surgical intervention with plates and screws. (mclaren.org)
Through an interdisciplinary, team-based approach, the patient was guided through obstetric delivery and orthopedic surgical fracture fixation without complication. (hindawi.com)
Upper-extremity lesions rarely require surgical management. (medscape.com)
It also is somewhat deficient in describing the level through which the fracture occurs in each column and related important surgical considerations. (medscape.com)

Ankle fractures have features of an osteoporotic fracture. (degruyter.com)
2] The FRAX tool, developed by the World Health Organization (WHO), is an algorithm that estimates the 10-year probability of a hip fracture or osteoporotic fracture. (cancernetwork.com)

Distal radius fracture (DRF) is the most common fracture of the upper extremity, representing 16% of all fractures treated in emergency departments [ 1 ]. (hindawi.com)

2] Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. (degruyter.com)
Since the majority of osteoporosis-related fractures result from falls,[1] it is important for oncologists caring for older at-risk patients to identify and modify risk factors for falling. (cancernetwork.com)

Who Is at Risk of Fracture? (cancernetwork.com)

What Is a Colles Fracture? (handandwristinstitute.com)
The pain from a scaphoid fracture usually occurs closer to the thumb, while the pain from a Colles fracture might be more persistent near your wrist. (handandwristinstitute.com)

In a study of 4536 consecutive fractures in adults seen in the Massachusetts General Hospital emergency department, only 0.31% were supracondylar (bicolumn) fractures of the distal humerus. (medscape.com)
With comminuted bicolumn fractures, repeat films following initial reduction or with longitudinal traction maintained often prove helpful. (medscape.com)

Which of the following is/are true statements regarding supracondylar fractures? (rch.org.au)
In 1936, Reich originally classified supracondylar fractures into T and Y variations. (medscape.com)

This is because in early life, olecranon is thick, short and much stronger than the lower extremity of the humerus. (wikipedia.org)
Although the incidence of compartment syndrome is lower in the upper extremities than in the lower extremities, fasciotomy should be considered with any arterial repair. (medscape.com)
Lower-extremity fractures most commonly were breaks in the lower leg - the tibia and fibula - and ankles. (iu.edu)
Obvious shortening of her left lower extremity was noted. (hindawi.com)
Body region most commonly injured includes upper extremities (203), lower extremities (189), and head (96). (cdc.gov)
Lower extremity DVT is much more likely to cause pulmonary embolism Тромбоемболія легеневої артерії (ТЕЛА) прочитати більше (PE), possibly because of the higher clot burden. (msdmanuals.com)
Congenital anomalies of the lower extremity. (medlineplus.gov)

It is our hypothesis that TWA using the Maestro WRS can provide satisfactory results in terms of range of motion, pain, and function for immediate salvage of a highly comminuted intra-articular fracture that is not amenable to open reduction and internal fixation (ORIF). (hindawi.com)

Are there different types of fractures? (balancehealth.com)
As the middle part of your scaphoid, the waist is the most common location of these types of fractures. (handandwristinstitute.com)

Aims: There is a subset of scapula fractures, which can be considered in the "gray zone," where treatment guidelines are not clear-cut, based on published literature. (cdc.gov)

A true lateral x-ray is essential to determine the fracture pattern, degree of displacement, comminution, and the degree of articular involvement. (wikipedia.org)
citation needed] There are several classifications that describe different forms of olecranon fractures, yet none of them have gained widespread acceptance: Based on the stability, the displacement and the comminution of the fracture. (wikipedia.org)

The incidence of ankle fractures is increasing rapidly due to the ageing demographic. (degruyter.com)
3] Court-Brown CM, McBirnie J, Wilson G. Adult ankle fractures - an increasing problem? (degruyter.com)
11] Nilsson G, Ageberg E, Ekdahl C, Eneroth M. Balance in single-limb stance after surgically treated ankle fractures: a 14-month follow-up. (degruyter.com)
12] Nilsson G, Jonsson K, Ekdahl C, Eneroth M. Outcome and quality of life after surgically treated ankle fractures in patients 65 years or older. (degruyter.com)

Frontal and lateral X-ray views of the elbow are typically done to investigate the possibility of an olecranon fracture. (wikipedia.org)
This fracture pattern is typically through the lateral metaphysis extending into the epiphysis and often extends into the articular surface. (posna.org)
Milch was the first to describe lateral condyle fracture patterns. (posna.org)
AP, lateral, and internal oblique radiographs should be obtained when a lateral condyle fracture is suspected. (posna.org)
The lateral approach is utilized and dissection of the fracture should be anterior to the joint. (posna.org)

Also known as a compound fracture, this break causes serious damage to the surrounding soft tissue. (balancehealth.com)

Upper extremity DVT occasionally occurs as part of superior vena cava (SVC) syndrome (compression or invasion of the superior vena cava by a tumor and causing symptoms such as facial swelling, dilated neck veins, and facial flushing) or results from a hypercoagulable state or subclavian vein compression at the thoracic outlet. (msdmanuals.com)

Single intramedullary screws can be used to treat simple transverse or oblique fractures. (wikipedia.org)

In older patients with compromised distal circulation, conservative treatment of fractures may be indicated. (degruyter.com)
Methods: Adult patients who had been treated non-operatively at our institution for an isolated scapula fracture from 2003-2012 were found using Current Procedural Terminology (CPT) codes. (cdc.gov)
The most apparent shift from ketamine to N 2 O occurred in patients with displaced upper extremity fractures, with an increase of N 2 O 70% from 0% in 2007 to 90.8% in 2016. (smw.ch)
In the early 1980s, the AO-ASIF group reported good and excellent results in 27 of 39 patients with comminuted fractures of the distal humerus. (medscape.com)
Rarely utilized, CT can be obtained to help better understand the fracture pattern preoperatively as one study showed that its use altered treatment in 2 of 10 patients (Chapman, 2005). (posna.org)
Can Total Wrist Arthroplasty Be an Option for Treatment of Highly Comminuted Distal Radius Fracture in Selected Patients? (hindawi.com)
Pregnant patients that sustain displaced acetabular fractures are a rare subgroup that can oftentimes present a clinical conundrum. (hindawi.com)
Much has been published regarding the successful results achieved with operative fixation of these fractures in nonpregnant patients [ 1 - 3 ]. (hindawi.com)
However, until recently, almost all pregnant patients with acetabular fractures were treated nonoperatively unless the patient's gestational age allowed for safe delivery [ 1 , 4 , 5 ]. (hindawi.com)

Other sites less commonly affected include the ribs, skull, and bones of the upper extremity. (medscape.com)

Type II: Displaced, stable fractures - In this pattern, the proximal fracture fragment is displaced more than 3 mm, but the collateral ligaments are intact. (wikipedia.org)
It is typically reserved for noncomminuted fractures that are proximal to the coronoid. (wikipedia.org)
Plates can be used for all proximal ulna fracture types including Monteggia fractures, and comminuted fractures. (wikipedia.org)

Other alternative imaging such as MRI and ultrasound have been shown to adequately identify the fracture and articular surface, however their clinical use is limited across the nation. (posna.org)

Our plastic surgeons offer hand and upper extremity reconstruction . (iuhealth.org)

citation needed] Most olecranon fractures are displaced and are best treated surgically: Tension band fixation is the most common form of internal fixation used for non-comminuted olecranon fractures. (wikipedia.org)

Nearly all of the fractures - 95 percent - occurred at the patient's home. (iu.edu)
The patient's wrist fracture was closed reduced and splinted. (hindawi.com)

Ligature of major arteries was the mainstay treatment during extremity amputation throughout the 18th century. (medscape.com)
These were by far the best results reported in the treatment of these difficult fractures at that time. (medscape.com)
Personal experience in the treatment of upper extremity fractures with Argopin nail. (minervamedica.it)
Read on to discover the importance of distinguishing between Colles and scaphoid fractures and the treatment options for each. (handandwristinstitute.com)
Colles and scaphoid fractures require medical treatment, as serious complications might arise if you try to let them heal on their own. (handandwristinstitute.com)
While fractured ribs can heal on their own, cyclists should always seek medical treatment to rule out potential complications like punctured lungs. (jeffreysglassman.com)
Recent evidence suggests that opioids may be no more effective than nonsteroidal anti-inflammatory drugs for acute treatment of pain in children with fractures, but the studies generally did not include evaluation of possible synergistic effects of the two drugs. (medscape.com)

In 2013, after completing hand and upper extremity fellowship training at the Cleveland Clinic and MetroHealth Medical Center, Dr. Panchal began her private practice. (ibji.com)

Anatomy8

Diseases16

Analytical, Diagnostic and Therapeutic Techniques and Equipment4

Phenomena and Processes1

Health Care1

Injuries22

Bone26

Trauma8

Forearm3

Extra-articular1

Spine3

Humerus Fracture2

Type of fracture3

Dislocation6

Clavicle Fractures1

Surgery8

Outcomes3

Open fracture1

Deformity3

Distal humerus fractures1

Injury10

Classification6

Surgical8

Osteoporotic fracture2

Common fracture1

Osteoporosis-related fractures2

Risk of fracture1

Colles Fracture2

Bicolumn fractures2

Supracondylar fractures2

Lower7

Intra-articular1

Types of fractures2

Scapula Fractures1

Comminution2

Ankle4

Lateral5

Compound fracture1

Occurs1

Oblique1

Patients9

Commonly1

Proximal3

Clinical1

Reconstruction1

Fixation1

Patient's2

Treatment7

Fellowship1