Docstoc

Hand and Wrist Injuries 2

Document Sample
Hand and Wrist Injuries 2 Powered By Docstoc
					ORTHOPEDIC
EMERGENCIES
 HAND INJURIES
         PRESENTER
     DR. DANIEL SQUIRE

 MUN Grad 1983
 Orthopedic Residency/Wrist fellowship
  University of Ottawa 1984 - 1989
 Clinical Assistant Professor Othopedics
  MUN 1990 - present
 Program Director, MUN Orthopedic
  Residency 1992 - present
              CASE # 1

 24 year old skier falls at White Hills
 c/o pain right thumb
 swelling at metacarpophalangeal joint
 tender ulnar side of mcp joint
 stability tests
             CASE # 1
             Discussion

 Skier’s thumb = ulnar collateral ligament
  injury
 +/- fracture at base of phalanx
 “Stener” lesion
 thumb spica vs. surgery
 examine & compare opposite side
              CASE # 2

 21 year old mountain biker thrown over
  handlebars on downhill trail
 c/o ++ pain in wrist
 fusiform swelling left wrist
 numbness thumb & index fingers
 marked loss of motion
 tender all around wrist
               CASE # 2

 XRAY Interpretation
 Diagnosis ?
 Initial management ?
 Definitive treatment ?
              CASE # 2
              Discussion

 classification of perilunate dislocations
 anatomy of wrist ligaments
 radiographic findings
 treatment principles
 prognosis
              CASE # 3

 17 year old basketball player with
  “jammed finger”
 swollen PIP joint
 tender all around joint
 decreased range of motion
 xray
             CASE # 3
             Discussion

 Condylar fractures of phalanx
 London classification
 Beware of “late” displacement
 Treatment principles

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:130
posted:4/15/2008
language:English
pages:9