Hand Fractures Peter M. Waters, MD, MSSc The majority (˜75%) of hand fractures have acceptable alignment and are stable. This means most hand fractures are not at significant risk of…

Posterior Stabilization for Thoracolumbar Spine Fractures Lawrence I. Karlin, MD Indications Unstable spine fracture (Figure 17-1). Instability determined by extent of bone and ligamentous injury. Clear indication for posterior stabilization…

Scaphoid Fractures Carley Vuillermin, MBBS, MPH, FRACS Scaphoid fractures are often difficult acutely to diagnose due to less severe than expected signs and symptoms. Even in children and adolescents, up…

Percutaneous Screw Fixation of Slipped Capital Femoral Epiphysis (SCFE) Michael B. Millis, MD Indications Stable and unstable SCFE Optional: prophylactic contralateral pinning in endocrine disorders and age <10 Sterile Instruments/Equipment…

Distal Radius Fractures Collin J. May, MD, MPH Closed Reduction Percutaneous Pinning (CRPP) Indications Displaced radial physeal fracture with median neuropathy Unstable distal radius fracture that will not remodel sufficiently…

Radius and Ulna Forearm Fractures Samantha Spencer, MD IM Rodding Indications (Figure 12-1) Unacceptable closed reduction as per age (will not remodel) Unstable fractures after closed reduction Open fractures with…

Supracondylar Humerus Fractures: Operative Treatment Peter M. Waters, MD, MSSc Indications Displaced fracture (Figure 5-1) Open fracture Neurovascular compromise Floating elbow Options for Fracture Reduction and Fixation Closed reduction percutaneous…

Monteggia Fracture: Dislocations Donald S. Bae, MD The goal is to preserve elbow and forearm function and prevent chronic Monteggia dislocation by: Acute accurate identification of lesion (NO missed acute…

T-Intercondylar Distal Humerus Fracture Carley Vuillermin, MBBS, MPH, FRACS Indications Displaced intra-articular T-type intercondylar distal humerus fracture (Figure 8-1) Besides plain radiographs, CT scan is often necessary for surgical planning…

Radial Head and Neck Fractures: Operative Treatment Donald S. Bae, MD Indications Malangulated or displaced proximal radial neck fracture that will result in malunion and subsequent impingement of radiocapitellar or…