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MODULE 5 & 6 ELBOW, WRIST, & HAND ELBOW Constitute 6% of all fractures ADULT • • • • Radial head olecranon superocondylar fracture/ dislocation 50% 20% 10% 15% CHILD • superocondylar 60% • lateral condyle 15% • medial 10% epicondyle CHILDREN Comparison views often needed COLLES Fracture of the distal radius 20-35mm from articular surface Posterior angulation of the distal fragment Approximately 60% will have fracture of the ulnar styloid Fall on an outstretched hand COLLES FX FIG 9.185a COLLES FX FIG 9.185b SMITH’S Fracture of the distal radius Anterior angulation of the distal fragment SMITH’S FX FIG 9.186a SMITH’S FX FIG 9.186b SMITH’S FX FIG 9.186c GALEAZZI Distal radius fracture with ulnar dislocation GALEAZZI FX FIG 9.183 MONTEGGIA Proximal ulnar fracture with radial dislocation MONTEGGIA FX FIG 9.182 HEAD DIE DIE NORMAL X-RAY ANATOMY Elbow Wrist Hand ELBOW POSITIONING SLIDES AP Lateral Jones view Oblique view - has been replaced by radial head - capitellum view WRIST POSITIONING SLIDES PA Ulnar Deviation Lateral Oblique HAND POSITIONING SLIDES PA Oblique Lateral MEASUREMENTS Axial relationships Carpal alignment Axial relationships FIG 2.74a Carpal alignment FIG 2.74b
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