1 Upper Extremity WRIST RTEC 123 # 1B LECTURE Contributions by: MOSBY – MERRILLS & BONTAGER XRAY2000.CO.UK rev 10/10/11
Dec 16, 2015
1
Upper ExtremityWRIST
RTEC 123 # 1B LECTURE
Contributions by:MOSBY – MERRILLS & BONTAGER
XRAY2000.CO.UK rev 10/10/11
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WRIST (5)
• PA
• OBLIQUE (MEDIAL)- PA OBLIQUE
• LATERAL
• OBLIQUE (LATERAL) AP OBLIQUE
• ULNAR DEVIATION (SCAPHOID “view”)
34
When the hand is turned toward the ulnar side, it is termed:
• A. adduction
• B. abduction
• C. ulnar deviation
• D. radial deviation
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When the hand is turned toward the ulnar side, it is termed:
• A. adduction
• B. abduction
• C. ulnar deviation
• D. radial deviation
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PATHOLOGYFOR UPPER EXTREMITY 1
SEE CHART PG ______
Avulsion fx
Bone cyst
Bursitis
fractures
Joint effusion
Osteoporosis
Rheumatoid Arthritis
51This fracture is most common in children between the ages of 5 and 11.
Typically, the child reports having
fallen onto his or her outstretched hand.
51
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scaphoid
• If the fracture is not recognized early, it may not heal properly. This can lead to problems later.
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59
Colles’ Fracture Extension-Compression Fracture of Distal Radius
FX WITH
POSTERIOR
DISPLACEMENT
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Colles' fracture
• of the distal radius and ulnar styloid
• with posterior displacement
• (of the hand)
Colle's fractures usually occur when an adult falls on a hyperextended, outstretched hand.
There is frequently an associated fracture of the ulnar styloid.
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• Smith's fracture is caused by a fall on a hyperflexed, outstretched hand.
• It is sometimes referred to as a "reverse Colle's fracture."
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SMITH’S FXFlexion-Compression
FX WITH
ANTERIOR
DISPLACEMENT
BARTON’S fx68
FX/DISLOCATIONOF POSTERIOR LIP OF DISTAL RADIUS
unstable intra-articular fracture of the dorsal lip of the radius with dorsal subluxation of the carpus along with the dorsal radius fragment