Musculoskeletal Key

Forearm Fractures Overview 1. Fractures of both bones of the forearm ( Fig. 10.1 ) should be anatomically reduced (except in children younger than 12 years) to preserve forearm rotation. a….

Overview Tibial traction is accomplished with placement of a pin across the proximal tibial metadiaphysis and attachment to a pulley system secured to a bed. Indications for Use Femoral shaft…

Overview Femoral traction is accomplished with placement of a pin across the distal femur and attachment to a pulley system secured to a bed. Indications for Use 1. Acetabular fractures…

Overview 1. Cervical spine traction is accomplished with placement of calipers or tongs to the skull and attachment to a pulley system secured to a bed. 2. Although a wide…

Overview Calcaneal traction is accomplished with placement of a pin across the posterior aspect of the calcaneus and attachment to a pulley system secured to a bed. Indications for Use…

Clavicle Fractures Overview 1. Most clavicle fractures require no reduction. 2. Closed reductions cannot be maintained and should not be attempted. Indications for Use 1. Minimally displaced clavicle shaft fractures…

Pelvis Reduction Overview 1. Application of a pelvic binder is a key step in the initial management of an unstable pelvic fracture. 2. Commercial pelvic binders are available, or a…

The Three-Point Principle 1. Diaphyseal fractures ( Fig. 8.1 A ): a. The primary reductive force should be applied against the apex of the fracture. b. Counterforce applied in the…

When performing an intraarticular ankle block, an anterolateral approach is preferred. Indications for Use An intraarticular ankle block is used for ankle fracture reduction. Precautions 1. Use of the lateral…

Overview 1. The following five nerves are involved in an ankle block: posterior tibial, superficial peroneal, deep peroneal, saphenous, and sural. 2. The posterior tibial and deep peroneal nerves are…