OrthoNet

Trauma Topics
Wrist

Perilunate dislocations and fracture dislocations
- closed reduction
- technique of open reduction and fixation, ligament repair; dorsal, volar, or both.
- median nerve decompression
- late scapholunate dissociation

Scaphoid fractures
- acute
- nonunion - approach to bone grafting and fixation
- late collapse - SNAC wrist

Keinbock’s Disease

Distal radius fractures
- Dorsally displaced intra-articular fractures
- Volarly displaced - Smith’s, Volar Barton’s
- look for SL dissociation

Hand

Massive Trauma

5th CMC fracture dislocations

Thumb fractures
- Base of MC - Bennett’s, Rolando, extra-articular
- Ulnar collateral ligament injury

Complex MCP dislocations

Metacarpal fractures

Amputations

Radius/Ulna

Massive trauma to radius/ulna - gunshot wound, bone loss

Galleazi injury - dealing with the DRUJ

Monteggia fractures

Elbow

Smashed distal humerus fracture
- stiffness postop

Complex fracture dislocation of the elbow
- radial head fracture
- coranoid fracture
- longitudinal injury

- need to look up the radial head implants and x-fix

- need to review all approaches to the elbow - should be able to get in from any direction

- olecranon injuries
- radial head fractures
- elbow dislocations

Humeral Shaft
- approaches to fixing them from any direction
- nonunion
- infection
- when to fix, when to leave

Proximal Humerus

Clavicle
- when to fix
- nonunion
- infection
- lateral and medial
- vascular damage or insufficiency

Scapula
- when to go after a glenoid fracture
- how to go after a glenoid fracture
- complications

AC joint injuries
- approach to acute and chronic problems
- how are you going to fix the coracoclavicular ligaments

SC joint injuries
- anterior and posterior dislocations

Pelvis Fractures

Acetabular Fractures

Hip Fractures

Femoral Neck
- young patient - be ready to do open reduction; be able to describe
- be ready for nonunion

Intertrochanteric Fracture
- be ready for the thing to fall apart
- approach to the unstable fracture with failing hardware

Central fracture dislocations
- when to reduce
- how to fix

Posterior fracture dislocation
- when to reduce? How to reduce? How to decide when to go after the acetabulum

Anterior dislocations
- closed reduction methods

Femoral head fractures
- anterior vs posterior
- in the face of posterior dislocation
- in the face of posterior acetabular fracture

Subtrochanteric fractures
- through the piriformis fossa - what do you do if the proximal femur explodes while you put in the nail?

Femoral shaft fractures
- nonunion
- malunion
- infection
- open wounds

Knee dislocations
- approach to ligamentous injuries around the knee
- vascular repair

- must know how to get at the knee from any direction - anterior, posterior, medial, lateral

Tibial Plateau
- lateral plateau; how do you manage the meniscus
- how do you make the skin incisions around a smashed tibial plateau
- what do you do with the Pes
- what do you do if you can’t get it closed?

Patellar fractures
- smashed, unreconstructable
- when would you take out?

Quad tendon rupture
- early and late

Patellar tendon rupture
- early and late

Supracondylar femur fractures
- how to fix

Supracondylar periprosthetic fractures
- how to fix

Tibial shaft fractures
- open injury - management thereof
- nonunion: infected and non-infected
- hardware failure - extraction devices

Pilon fractures
- how to manage the soft tissue injury

Calcaneal fractures

Talar neck fractures

Subtalar dislocations

LisFranc injuries