Orthonotes
Orthonotes
by the.bonestories
v4.1 Fusion X
v4.1 Fusion X

Category: Trauma

Clavicle Fractures β€” Management
πŸ‘ 200 views

Most common: midshaft fractures; assess displacement, shortening, comminution, skin tenting, neurovascular status. Nonoperative for minimally displace...

Proximal Humerus Fractures
πŸ‘ 212 views

Neer classification (parts displaced >1 cm or >45Β°): guides management. Non‑operative for minimally displaced; ORIF (locking plate) for displaced 2–3...

Shaft Humerus β€” Radial Nerve Palsy
πŸ‘ 261 views

Primary neurapraxia occurs in ~10–15% closed fractures; most recover spontaneously by 3–4 months. Immediate exploration for open fractures, vascular i...

Galeazzi Injury
πŸ‘ 172 views

Radial shaft fracture with disruption of the distal radioulnar joint (DRUJ). Occurs in middle to distal third radius fracture. Requires ORIF of radius...

Elbow Dislocations β€” Terrible Triad
πŸ‘ 195 views

Terrible triad = posterior elbow dislocation + radial head fracture + coronoid fracture. Highly unstable pattern, requires surgical fixation of all co...

Proximal Ulna/Olecranon β€” Tension Band Wiring (TBW)
πŸ‘ 209 views

Indication: simple, non-comminuted transverse olecranon fractures (AO 21-B1) with intact dorsal cortex. Principle: converts triceps tensile force into...

Polytrauma Scores β€” ISS, RTS
πŸ‘ 372 views

ISS: anatomical score using AIS; 1–75; >15 = major trauma. RTS: physiological score (GCS, SBP, RR);

Fat Embolism Syndrome
πŸ‘ 234 views

Classically 24–72 h after long‑bone/pelvic fractures or IM reaming; triad: hypoxemia, neurological signs, petechiae. Diagnosis is clinical; supported...

Myositis Ossificans
πŸ‘ 231 views

Heterotopic ossification in muscle after trauma or neurological injury. Common sites: quadriceps, brachialis, adductors. Symptoms: painful swelling β†’...

Compartment Syndrome β€” Pressure Criteria
πŸ‘ 210 views

Absolute CP >30 mmHg indicates fasciotomy. ΔP = DBP – CP; if <30 mmHg, fasciotomy indicated. Interpret with clinical signs.