By Rahij Anwar
A hugely illustrated booklet offering concise but accomplished info on fracture category and administration. The textual content has been constructed in accordance with the necessities of orthopaedic surgeons in education. the 1st part covers normal rules equivalent to terminology and working with a number of trauma; following sections take the reader systematically via areas of the physique and some of the attainable fractures, protecting analysis, therapy and therapeutic in every one case. Definitive details at the ever-disputed factor of category of musculoskeletal accidents is equipped all through. an efficient reference ebook for the sanatorium, this ebook can also be an integral instrument for trainees in orthopedic and emergency drugs and orthopedic nurses.
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Additional resources for Classification and diagnosis in orthopaedic trauma
The proximal humerus receives its blood supply through the anterior circumflex artery (arcuate artery) with contributions from the posterior circumflex and other vessels. Severely displaced fractures may cause ischaemia of the humeral head leading to a poor prognosis. Mechanism of injury 40 Most proximal humeral fractures occur as a result of a fall on the outstretched hand. These fractures are frequently seen in older patients with osteoporotic bones. They usually occur in response to an excessive torsional force on the arm when it is in the abducted position.
Second peak: Death occurs within minutes to several hours of injury. The cause of death is usually preventable provided the injuries are identified early and appropriately treated. Common examples of preventable life threatening injuries are haemothorax, pneumotorax, pelvic fractures, etc. Rapid assessment and management of such life threatening conditions form the basis of ATLS. The first hour of treatment after injury is often referred to as the ‘golden hour’ because intervention at this stage causes a marked difference in the eventual outcome of a trauma patient.
Type I: Fracture proximal to the tip of the prosthesis with the stem still in contact with the medullary cavity. Type II: Fracture extending distal to the tip of the prosthesis with dislodgement of the stem from the medullary cavity of the distal fragment. Type III: Fracture distal to the tip of the stem of the prosthesis. 26 Diagnosis Treatment Periprosthetic fractures Pain is the commonest presenting symptom. The fracture site is markedly tender and the limb may appear significantly deformed.