上肢骨折与手外伤.pptVIP

Clavicle Fractures锁骨骨折 Causes of Clavicle Fracture Accidents such as falls Sometimes, a blow from a blunt object or a collision of some sort Fracture Classification Fracture of middle 1 / 3 ( group I ) account for 80 % frx of distal 1/3 (group II) account for 10-15% type I: minimal displacement  type II: frx medial to coracoclavicular ligaments  type III: articular surface fractures  frx of medial 1/3 (group III) account for 5% Symptoms of Clavicle Fracture Pain Swelling Tenderness Deformity Internal bleeding If asked to lift their arm, patients with a broken clavicle cannot do so without extreme pain. Treatment of Clavicle Fracture  The goal of treating broken bones is to set them, making them whole again figure-8 splint or strap immobilized for 6-8 weeks Open reduction and internal fixation Humerus Shaft Fractures 肱骨干骨折 Causes of Humeral Shaft Fracture Direct stress, such as a blow to the arm. Indirect forces,such as a fall,twisting or torsional forces.? mechanism bending force produces transverse frx of the shaft; torsion force will result in a spiral fracture; combination of bending and torsion produce oblique frx w/ or w/o a butterfly fragment; compression forces will frx either proximal or distal ends of humerus; types of humeral shaft fracture Transverse humeral fractures Short oblique fractures Long spiral fractures Symptoms of humeral shaft fracture Pain Loss of strength in the grip Swell Deformity Tenderness? If the blood supply is impaired, there may be numbness and coldness in the arm and hand. Non Operative Treatment of Humeral Shaft fracture Long arm splint needs to be applied from shoulder to wrist to fully immobilize the extremity; Operative Treatment: internal fixation should be reserved for fractures with inadequate reduction or patients with multiple trauma; IM Nailing of Humeral Shaft Fractures Plate Fixation Causes By a fall? The child may stretch out his or her hand and the force from the imp