Clinton J Orloski MD Common Fractures 4 th and 5 th Metacarpal Fractures Boxer Fractures Distal Radius Fracture Colles Fracture Scaphoid Fracture also beware of pain at snuffbox ID: 932560
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Slide1
Hand and Wrist Fractures
Clinton J. Orloski MD
Slide2Common Fractures
4
th
and 5
th
Metacarpal Fractures (“Boxer Fractures”)
Distal Radius Fracture (”
Colles
Fracture”)
Scaphoid Fracture (also beware of pain at snuffbox
–
splint and reimage in 1-2 weeks)
Tuft Fractures
Phalanx Fractures
Slide3Common Splints
Sugar Tongue Splint
Distal radius / ulnar fracture
Ulnar Gutter
4/5
th
metacarpal head
Thumb Spica
Scaphoid fracture, thumb phalanx
“Buddy Taping”
Digits
Slide4Distal Radial Fracture (eponym: “
Colles
”)
Sugar tongue splint
Slide54th
or 5
th
Metacarpal
Fx
(eponym: “Boxer”)
Ulnar Gutter Splint
Slide6Scaphoid Fracture
(or pain at snuffbox)
Thumb Spica Splint
Slide7Extras
Animal Bites
Tetanus
Abx
(Augmentin)
Call Philadelphia Animal Hotline to report
UNKNOWN ANIMAL => Rabies IgG and Vaccinations
Open Fractures
AbxConsult
Tuft Fractures
Not open!! => no evidence for
abx
use for isolated tuft fracture with or without nailbed injury
DeQuervian
Tenosynovitis
No need for radiographs
Finkelstein’s Test
–
grasp thumb and ulnar deviation