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CHAPTER 20
EMERGENCY CARE OF
MUSCULOSKELETAL INJURIES
Silas T. Marshall and Bruce D. Browner
diagnosis and treatment of musculoskeletal injuries may be used
epidemiology of orthopedic injuries
in the care of the multiply injured patient.
terminology
fixation principles TERMINOLOGY
patient evaluation Communication among collaborating specialists is central to
initial management patient care. Trauma and emergency department findings need
orthopedic emergencies to be relayed precisely to consulting specialists. This task is par-
common long bone fractures ticularly challenging in view of the variety of anatomic locations,
challenges and complications fracture patterns, and associated soft tissue injuries encountered
postoperative mobilization in orthopedics. Although many injuries are identified by
summary eponyms within the orthopedic community, the most practical
and universally understood characterizations of injuries are those
that adhere to basic anatomic and mechanical principles.
EPIDEMIOLOGY OF ORTHOPEDIC INJURIES Fracture Types
Accidents continue to be a prominent cause of death and dis- A fracture is a disruption of the normal a
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