Malunion of Fracture

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Malunion of Fracture

Angular Malunion. Supracondylar fractures of the humerus are quite unstable, and reduction is difficult to maintain. Even an acceptable reduction may be lost, and the bone typically heals with a…

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Growth Deformity

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Growth Deformity

Limb Shortening. Although limb shortening is a risk in virtually any growth plate fracture, it is particularly common in Salter-Harris type V injuries, in which the growth plate is crushed…

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Gas Gangrene

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Gas Gangrene

Gas gangrene may develop when a contaminated open fracture is inadequately debrided. The infection tends to involve the subcutaneous tissue and muscles, sometimes sparing blood vessels, nerves, and bone. Once…

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Infection

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Infection

Classification of Open Fracture. Open fractures are graded by the severity of soft tissue damage, fracture pattern, and degree of contamination, as defined by Gustilo and Anderson (see Plate 9-3)….

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Neurovascular Injury

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Neurovascular Injury

Radial Nerve Palsy. The radial nerve is the most commonly damaged nerve after fractures of the distal shaft of the humerus. Normally protected in the spiral groove of the humeral…

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Osteomyelitis after Open Fracture

Jul 3, 2016 by in MUSCULOSKELETAL MEDICINE Comments Off on Osteomyelitis after Open Fracture

Although the many exogenous causes of osteomyelitis vary greatly, the resulting bone infections share some common characteristics. The bone becomes infected because the protective skin and periosteal barriers have been…

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