Description | Treatment | Exception (when the other one?) | Specific technique names |
|---|---|---|---|
Clavicle Fx | Conservative | complication, >2cm, comminuted, under skin, bilateral | Dessault: nondisplaced, Watson Jones: displaced, surgery: see exception |
Scapula Fx | Conservative | glenoid, acromial fx | |
AC dislocation | Surgery | type I, II (,III if <2cm) | Tight rope, hook plate, k-wire, plates screws, tendon graft reconstruction |
Shoulder dislocation | Conservative | associated fx, old,recurrence | Hippocratic, Traction-countertraction, Kocher |
Prox. Humerus Fracture | Conservative | displaced, 2-3p → ORIF, CRIF; 4p → arthroplasty | cons.: Dessault; ORIF: philos-plates |
Humeral shaft fx | Conservative | complication, severely displaced, radial n. palsy >6w | U-slab → hanging cast or Sarmiento |
Distal humerus fx | Surgery | nondisplaces, no articular involvement, old | |
Elbow dislocation | Conservative | ||
Olecranum Fx | Surgery | non displaced, non-comminuted, no articular involvement | Tension band, plates +screws |
Radial head Fx | Conservative | displaced, comminuted, intra-articular | |
Forearm fx | Surgery | isolated radius or ulnar fx + nondisplaced | |
Distal radius fx | Conservative | severely displaced, intra-articular, open, not reducable, high demanding patient | |
Spine fx | Conservative | highly unstable, neurologic risk | Spinal orthosis Spine fusion |
Pelvis fx | Surgery | stable, pat. can bear weight | |
Hip dislocation | Conservative | associated fx, fragments, >6h | Allis reduction maneuver |
Prox. Femoral head fx | Surgery | no exception, high risk pat. | I+II→IF, III→reduc.+IF,IV→athroplasty |
Femor. trochanteric fx | Surgery | old, high op-risk pat. | sliding screw, gamma nail, artroplasty |
Femoral shaft fx | Surgery | - | ORIF, Gamma (CRIF) |
Distal femoral fx | Surgery | nondisplaced, not intratricular | |
Patella fx | Conservative | cant extend, complications, displaced, comminution | Cylinder cast; CRIF, ORIF, tension band |
Knee sprain | Conservative | when full lig. rupture | RICE, orthesis |
Tibial plateaufx | Conservative | hard displaced, hard depressed, intra-articular, complications | |
Tibial shaft | Conservative | displacement, comminution, ankle involement, spiral fx | |
Ankle sprain | Conservative | tendon rupture, associated fx | RICE, orthesis |
Ankle fx | Conservative | displaced, not isolated |