ORTHOPAEDICS - ADULT
SHOULDER POLYTRAUMA
Prompt
ResponseFracture R glenoid
Fracture through neck of scapula
Fracture through distal clavicle with tenting of the skin
Evidence of previous clavicle surgery
Fractured 2nd rib, no appreciable PTx
Humeral head enlocated
Importance of findings = high impact mechanism - High risk of concurrent injuries, especially intrathoracic
Fracture through neck of scapula
Fracture through distal clavicle with tenting of the skin
Evidence of previous clavicle surgery
Fractured 2nd rib, no appreciable PTx
Humeral head enlocated
Importance of findings = high impact mechanism - High risk of concurrent injuries, especially intrathoracic
PromptInjuries associated with above xray
ResponseRib fractures - CXR/CT
Lung contusion - CT chest, CXR less helpful <6 hours
Ptx - CXR/US
Brachial plexus injury - clinical examination showeing weakness in C5-T1, MRI
C spine Injury - CT/MRI C spine
Arterial injury - CTA chest/neck
Lung contusion - CT chest, CXR less helpful <6 hours
Ptx - CXR/US
Brachial plexus injury - clinical examination showeing weakness in C5-T1, MRI
C spine Injury - CT/MRI C spine
Arterial injury - CTA chest/neck