ORTHOPEDIC EMERGENCIES

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ORTHOPEDIC EMERGENCIES

• HAND INJURIES

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PRESENTER DR. DANIEL
SQUIRE

• MUN Grad 1983
• Orthopedic Residency/Wrist fellowship University
  of Ottawa 1984 - 1989
• Clinical Assistant Professor Othopedics MUN 1990
  - present
• Program Director, MUN Orthopedic Residency 1992
  - present

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CASE 1

• 24 year old skier falls at White Hills
• c/o pain right thumb
• swelling at metacarpophalangeal joint
• tender ulnar side of mcp joint
• stability tests

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CASE 1 Discussion

• Skiers thumb ulnar collateral ligament injury
• /- fracture at base of phalanx
• Stener lesion
• thumb spica vs. surgery
• examine compare opposite side

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CASE 2

• 21 year old mountain biker thrown over handlebars
  on downhill trail
• c/o pain in wrist
• fusiform swelling left wrist
• numbness thumb index fingers
• marked loss of motion
• tender all around wrist

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CASE 2

• XRAY Interpretation
• Diagnosis ?
• Initial management ?
• Definitive treatment ?

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CASE 2Discussion

• classification of perilunate dislocations
• anatomy of wrist ligaments
• radiographic findings
• treatment principles
• prognosis

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CASE 3

• 17 year old basketball player with jammed
  finger
• swollen PIP joint
• tender all around joint
• decreased range of motion
• xray

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CASE 3Discussion

• Condylar fractures of phalanx
• London classification
• Beware of late displacement
• Treatment principles