Orthopedics Exam-Trauma Overview

bone Artery/nerve at risk Classification with Complications

rough description

clavicula Subclavian a. Allmann classification

Brachial plexus - by location of fx
(medial, middle shaft,
lateral)
scapula Brachial plexus Ogawa Glenohumeral arthritis
suprascapular n. - proximal or distal to Rib fx
coracoid process? Pneumothorax

Kuhn
- is the acromial fx
reducing subacromial
space?

Ideberg
- fx pattern through
glenoid fossa

AO for glenoid fx
- extraarticular,
- intraarticular (ant/
post/obl/transv.)
- multifragmentary
- extension points into
scapula body (<=2/
>=3)
Shoulder dislocation Axillary a. Anterior Rotator cuff injury
Axillary n. Posterior
Brachial plexus Inferior
Proximal humeral Brachial a. Neer Avascular necrosis of
Axillary n. -by fx parts and their femoral head
location
Adhesive capsulitis

Rotator cuff injury

Humerus diaphyseal brachial a. AO Holstein lewis fx
Radial n. -by pattern: simple
wedge, complex

location_GoodnotesFilzaPC
Orthopedics Exam-Trauma Overview

bone Artery/nerve at risk Classification with Complications

rough description

Supracondilar humerus brachial a AO Folkman contracture

Radial n - extraart.(avulsion, Compartment syndome
Median n simple, Gunstock deformity
Ulnar n multifragmentary), Hematoma
- partial art.(lat.sagittal,
medial sagittal,
coronal shear),
- complete articular

Bryan and Moore

- by pattern of articular
fx (large piece of
capitellum?, shear fx?
Comminution?, etc.)

Milch
- is the lateral trochlea
intact?

Gartland
- by displacement and
cortical surface
involvement
Intraarticular elbow fx OTA radial head: Osteoarthritis
- complete articular
- partially art
- extraarticular

Bryan and Moore-

capitulum (siehe oben)

Mason-olecranon
- no displacement,
- displacement >=2mm,
- displacement with
comminution
- radial head
fx+luxation

location_GoodnotesFilzaPC
Orthopedics Exam-Trauma Overview

bone Artery/nerve at risk Classification with Complications

rough description

antebrachium fx Median n. OTA Classification for Compartment syndrome

Ant. Interosseus n. Monteggia and
galeazzi fx (Hutchinson fx)
- by simple or wedge
and if fx is only in radius
or radius and ulna

Jupiter classification-
for monteggia fx
- fx at coronoid process
- fx at metaphyseal
diaph. Junction
- fx distal to coronoid
- fx at distal half of ulna

Distal radius Smith, colles, barton,

reverse barton
Lunatum dislocation median n

scaphoideum Radial a Instability

AVN
Arthritis
Matacarpal, phalangeal , Distal phalanges: Osteoarthritis for
bennets - tuft (simple or phalanges
comminuted),
- shaft(transverse or
longitudinal),
- intraarticular (dorsal or
volar)
Pelvic ring fx sup.gluteal a. Tile Bladder injury
int.pudendal a. - stable Vaginal trauma
Obturator a. - rotationally unstable Scrotal trauma
Venous plexus +vertically stable Hematuria
(open book, ipsil, Intraabdominal bleeding
rami, contral. Rami, Urethral tear
bilateral) DVT
- Rotationally and Chronic instability
vertically unstable(unil
or bilateral)

Young bourgass
-anteropost.
compression,
-lateral compression,
or vertical shear

location_GoodnotesFilzaPC
Orthopedics Exam-Trauma Overview

bone Artery/nerve at risk Classification with Complications

rough description

pelvic fx Superior gluteal a Judet and letournel Venous bleeding

Int. pudendal a -elementary fx: Osteoarthritis
Sciatic n • posterior wall
Gluteal n • post. column
• ant.wall
• ant. column,
• transverse

-Associated fx :
• both column
• post. wall+ transverse
• ant colomn+post
• Hemitransverse
• Post.
column+post.wall
Spinal column Vertebral a ASIA Respiratory depression
-by motor and sensory Deformed spine
assessment Gibbus hump
DVT
Denis Spinal shock
- ant column
- mid colomn
- post column

AO
- compression
- burst
- complete burst,
- lig+bone
- bone+soft tissue,
- vertebral body
displacement

TLICS-points for each

criteria:
By morphology,
longterm stability,
neurological status
Femoral neck Medial femoral Garden AVN
circumflex a -incomplete Venous thrombosis
- complete (non Non union
displacement, partially Osteonecrosis
displacement, complete Intracapsular hematoma
displacement)

Pauwels
-by vertical orientation of
fx line (<30,30-50,>50)

location_GoodnotesFilzaPC
Orthopedics Exam-Trauma Overview

bone Artery/nerve at risk Classification with Complications

rough description

Perthrochanteric and Russet and Taylor Varus

subtrochanteric - is piriform fossa Procurvatum malunion
involved?

AO
-2 part peritrochanteric,
- pertrochanteric
- lateral and medial
cortex involved

EVANS
-stable-postmed.
- Cortex is intact,
unstable-PMC
comminution
- reverse oblique-
unstable
Femur diaphyseal Femoral a OTA Pulmonary injury
Pudendal n -by simple, wedge, Varus
complex Quadriceps and
abductors weakness
Winquit and Hanssen
-no comminution,
- butterfly 25%
- butterfly 50%,
- butterfly more than
50%+ spike,
- segmental
comminution
Femur supracondylar Popliteal a Müller Non union/malunion
-extraarticular Hoffa fx
- partially articular, Knee pain/stiffness
- completely articular
femur intrarticular Popliteal a Müller-siehe oben Osteoarthrosis
Hoffa fx
Crus diaphysis-open, Peroneal a Ostern and Tscherne Foot drop
closed Fibular n for closed fx Wound infection
Peroneal n - only soft tissue, Compartment syndrome
superfical abrasion/ Lipohemarthoris
simple
- deep (muscle,
compartment
syndrome, crushed
skin, BV, nerve)

location_GoodnotesFilzaPC
Orthopedics Exam-Trauma Overview

bone Artery/nerve at risk Classification with Complications

rough description

Ankle fx Ant. Tibial a Lauge and Hansen

Fibular a - supination+adduction,
Fibular n - suppination+ext
(deep+superficial) rotation,
- pronation+rotation

Danis Weber for fibula

- fx below syndesmosis
- same level as
syndesmosis
- above
syndesmosis(=unstable)

Talus, calcaneus, tarsal,

metatarsal, lisfranc fx
Calcaneus Sanders AVN
-by location of main fx
line, and how many fx
parts

Esses Lopresi
- tongue type
- depression type
Neck talus Hawkins
-by displacement and
joint involvement
Navicular bone Sangeorzan
- transverse
- oblique
- comminution
5th metatarsal Sureal n AO
- Extraartaricular
- partially articular
- intraarticular.

Torg by Anatomy
-prox. Tubercle avulsion,
jones, prox diaphyseal fx

Torg by function
-by line (narrow or wide
etc), sclerosis

location_GoodnotesFilzaPC