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Archive for the ‘Fracture of the Week’ Category

A leg injury from Chile

leg%20fracture[1]

This case has been provided by an orthopaedic  colleague from Santiago, Chile, who is studying at the University at the moment.

The series of pdf pages reads from p5 – p1 so scroll down to the end and then read the progression of this injury in reverse page order.

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If you’d  like to get ready for Trauma in week 5 already then you  might like to look at these links to the AO foundation about fracture management.  AO is  a Swiss group which really dominates the realm of fracture classification and management.  AO has developed an extensive range of fixation devices used worldwide and their approach to the mangement of any fracture is internationally recognised and accepted.

See what you think of these sites and let DundeeBones know if they are any good.  They may be too detailed.

http://lifeinthefastlane.com/2010/02/ao-surgery-reference/

http://www.aofoundation.org/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwML1yBXAyMvYz8zEwNPQwN3A6B8JJK8gUWAm4GRk6m_oUlwgBFIHr9uP4_83FT9gtyIcgCExWfz/dl2/d1/L2dJQSEvUUt3QS9ZQnB3LzZfQzBWUUFCMUEwOEVSRTAySjNONjQwSTEwRzA!/?showFsk=true

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Take a break!

Well done on making it to the end of week 2 of  the MSS!

This is the time to re-cap on your learning so far in relation to the shoulder and hand.  Take a look again at the bone of the week and  case of the  week especially for shoulder and hand stuff.

Week 3 will be focusing on back and neck pain, especially nerve root compression and mechanical   back pain but with something about  other back problems as well – enjoy!

Dundeebones

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   Have a look at this X-ray of the lower leg and  compare it with the other X-ray of a  tibia and fibula earlier in DundeeBones.

What is different about this one?

Can you find the fractures? 

Where abouts are they in each bone?

Can you  describe the fracture pattern?

What else is wrong / unusual about the leg shown on this X-ray?  What do you think this leg would  look like if you were seeing it in A&E?

(Remind DundeeBones to post the answer next week!)

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Fracture of the week (1)

Spiral fracture

This is an antero-posterior (AP) view of the Right  tibia and fibula showing both the knee and ankle joints.

Can you  see the fracture?  Which bones are involved?

To describe the fracture site divide the bone in  to thirds and decide which  third,  proximal, mid or distal, the fracure is in.

How would  you describe the appearance of the fracture?  Does it look transverse, oblique,  spiral or comminnuted?

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