Bone Issues of UL

Bone Issues of UL

1. JOINTS

   • Sternoclavicular Joint
     • Clavicular Fractures
       • Supports limb close to body
   • Acromioclavicular Joint
     • AC Separation
       • FOOSH
       • Squared off shoulder
   • Glenohumeral Joint
     • Shoulder Dislocation
       • Anterior-Inferior
         • Squared off shoulder
         • Potential Numbness

2. HUMERAL FRACTURES

   • Surgical Neck
     • Under Axillary Nerve
   • Shaft
     • Cuts Radial Nerve
   • Supracondylar
     • Cuts Median Nerve
     • Brachial Artery
       • Compartment Syndrome
         • Volkmann ischemic contracture of forearm muscle (flexors)
   • Medial Epicondyle
     • Cuts Ulnar Nerve

3. HAND FRACTURES

   • Boxer's Fractures
     • Metacarpals- II + III
   • FOOSH
     • Scaphoid: 17-40 yoa
       • may not show up for 2-3 weeks
       • Tenderness in snuffbox
       • Avascular Necrosis-Radial Artery
     • Salter-Harris II: 11-16 yoa
       • Physeal Plate
     • Torus: 4-10 yoa
       • Distal Radial Metaphysis
         • Soft bones in kids
     • Colles: over 40 yoa
       • Distal Radius- Posterior
     • Smith's
       • Distal Radius-Anterior