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ORTHOPEDIC EMERGENCIES PowerPoint PPT Presentation


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ORTHOPEDIC EMERGENCIES. HAND INJURIES. PRESENTER DR. DANIEL SQUIRE. MUN Grad 1983 Orthopedic Residency/Wrist fellowship University of Ottawa 1984 - 1989 Clinical Assistant Professor Othopedics MUN 1990 - present

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ORTHOPEDIC EMERGENCIES

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Orthopedic emergencies l.jpg

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

  • Skier’s 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


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